Paul Garcia25 said:1. Their mood doesn't suddenly skyrocket into hypomania—it usually just stays level.
2. They deal with all those unpleasant side effects.
The reality is that antidepressants aren't designed to turn a depressed person into a ray of sunshine (hypomanic or euphoric); they simply drag someone out of a negative hole and back down to zero—that "everything feels flat" sensation.
PS
Psychiatrists aren't exactly omnipotent, but they can tell when someone is playing games with their symptoms—which, in certain contexts, can actually cross the line into criminal territory (forensic psychiatry spends a lot of time teaching how to distinguish a genuine patient from someone just faking it).
Well, it varies, I suppose, but when you look at studies involving healthy volunteers to see how AD affects baseline behavior, about 80% of them actually experienced mania or hypomania.
2. The medication causes unpleasant side effects.
For most people, those "side effects" are actually that very mania and hypomania we're talking about.🙂
Basically, antidepressants don't make a depressed person "happy" (as in hypomanic or euphoric); they just pull them out of that negative hole and back up to zero (that "everything feels level" state).
It all depends on the severity of the depression. Bringing someone to "zero" doesn't necessarily mean they'll act like they "don't care about anything"—which, by the way, would actually imply the treatment isn't working properly.
The whole point of using antidepressants is to reach that zero mark, but "zero" is supposed to be normal, healthy behavior, not some kind of total lethargy.
If you want that "I don't give a damn" feeling, that's what antipsychotics are used for.
Psychiatrists aren't omnipotent, obviously, but they can tell when someone is faking symptoms—and honestly, that can even cross into criminal territory (forensic psychiatry actually trains specialists specifically to distinguish between a truly ill patient and someone who is just simulating illness).
You hit the nail on the head here.😁
That attempt at "deception" actually has a technical term:
malingering, where the goal is to gain some sort of specific advantage or benefit.