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Understanding Antidepressant Side Effects
March 31st, 2026

What Does It Mean When Antidepressants Make You More Anxious at First?

Increased anxiety when starting antidepressants is a common temporary side effect called activation syndrome. This occurs because antidepressants often increase energy and motivation before improving mood, creating an imbalance that can heighten anxious feelings. Studies show this affects 15-25% of patients during the first 2-4 weeks of treatment. SSRIs like sertraline and fluoxetine are most commonly associated with this effect. The anxiety typically subsides as your brain adjusts to the medication and serotonin levels stabilize. Your doctor may recommend starting with a lower dose or adding an anti-anxiety medication temporarily to help manage these initial symptoms.

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