3 ms·

Good news, exposure therapy is quite effective for arachnophobia and is the first-line treatment. SSRIs do not have the same level of supporting evidence, and t

Good news, exposure therapy is quite effective for arachnophobia and is the first-line treatment. SSRIs do not have the same level of supporting evidence, and the effects are not as durable.

sandcat_ 1mo ago
Thanks, yeah, but if I’m honest I don’t really care enough to go through with it. I almost did once, years ago, the London Zoo have a programme. I mentioned it though as one of the most stark changes I noticed after getting on an SSRI was pretty much immediately losing my fear of spiders. It was the first sign I had that showed it was doing something. I used to literally, on occasion, launch my phone across the room if I was scrolling and came across a spider (sometimes drenching myself with coffee or whatever in the process!) and then one day, shortly after getting on it, I stumbled across some awful tarantula video or something and I just stared at it like “huh, why am I not freaking out”.
- deleted 1mo ago
  [deleted]
simiones 1mo ago
> SSRIs do not have the same level of supporting evidence, and the effects are not as durable. To the extent that we can measure depression, SSRIs have been widely proven in gold standard phase III clinical trials to help with the treatment of major depression. What exactly is supposed to be lacking in the supported evidence?
- avianlyric 1mo ago
  GP is talking about using SSRIs for treating arachnophobia, not depression.
- movespebp 1mo ago
  Unfortunately many of the trials look like this : https://study329.org/ https://study329.org/ - the ghost written study concluded “Paroxetine is generally well tolerated and effective for major depression in adolescents.” The reality of the actual trial data was very different - with catastrophic results for many.
pcblues 1mo ago
Exposure therapy does not work for everyone in all areas. Sometimes not at all. Also, see the debate around discussing traumatic events in therapy immediately versus waiting a year. Throwing people in the deep end doesn't always result in a swimmer :) YMMV of course.

Good news, exposure therapy is quite effective for arachnophobia and is the first-line treatment. SSRIs do not have the same level of supporting evidence, and the effects are not as durable.

sandcat_ 1mo ago

Thanks, yeah, but if I’m honest I don’t really care enough to go through with it. I almost did once, years ago, the London Zoo have a programme. I mentioned it though as one of the most stark changes I noticed after getting on an SSRI was pretty much immediately losing my fear of spiders. It was the first sign I had that showed it was doing something. I used to literally, on occasion, launch my phone across the room if I was scrolling and came across a spider (sometimes drenching myself with coffee or whatever in the process!) and then one day, shortly after getting on it, I stumbled across some awful tarantula video or something and I just stared at it like “huh, why am I not freaking out”.

deleted 1mo ago
[deleted]

simiones 1mo ago

> SSRIs do not have the same level of supporting evidence, and the effects are not as durable. To the extent that we can measure depression, SSRIs have been widely proven in gold standard phase III clinical trials to help with the treatment of major depression. What exactly is supposed to be lacking in the supported evidence?

avianlyric 1mo ago
GP is talking about using SSRIs for treating arachnophobia, not depression.
movespebp 1mo ago
Unfortunately many of the trials look like this : https://study329.org/ https://study329.org/ - the ghost written study concluded “Paroxetine is generally well tolerated and effective for major depression in adolescents.” The reality of the actual trial data was very different - with catastrophic results for many.

pcblues 1mo ago

Exposure therapy does not work for everyone in all areas. Sometimes not at all. Also, see the debate around discussing traumatic events in therapy immediately versus waiting a year. Throwing people in the deep end doesn't always result in a swimmer :) YMMV of course.