Celexa Uses, Side Effects, and Patient Tips: Everything You Need to Know

Celexa Uses, Side Effects, and Patient Tips: Everything You Need to Know
May 24 2025 Hudson Bellamy

Picture waking up with a weight on your chest, not from the blanket, but from something invisible tugging at your energy and thoughts. This is daily life for millions grappling with depression. While therapy and lifestyle tweaks help, for many folks, medication like Celexa is what tips the scale back towards normality. But what is Celexa, really? Let’s unpack it.

What Celexa Is and How It Works

Celexa is the brand name for citalopram, a drug that's been around since the late 1990s and prescribed all over the globe, including heaps in Australia. It’s part of a popular class of meds called SSRIs—which stands for selective serotonin reuptake inhibitors. That's a mouthful, right? Basically, Celexa boosts the amount of serotonin in your brain. Serotonin is a chemical messenger nicknamed the 'feel-good' neurotransmitter. Too little of it? Your mood can tank.

Celexa gets prescribed mostly for depression, but doctors sometimes use it off-label for anxiety, panic attacks, and even obsessive-compulsive disorder. It comes as tablets (ranging from 10 to 40 mg) you swallow once daily. For someone starting out, doctors usually keep doses low, then dial them up slowly if your body agrees with it. And while it won’t snap you out of a funk overnight, most people feel significant changes after three to six weeks. Interestingly, Celexa was developed in Denmark, and by the early 2000s, it was getting written for more than 25 million scripts a year worldwide. Not too shabby for a little molecular tweak.

How does it actually work? Think of serotonin like little messages between brain cells. Normally, after a message is sent, serotonin is sucked back up for recycling. Celexa blocks this clean-up, letting serotonin hang around longer. By keeping more of it floating between brain cells, your mood can stabilize or lift a notch—or sometimes a lot more.

But don’t expect perks right away. It’s not like caffeine or a painkiller. 'You can go a week or two and feel nothing, and then suddenly something shifts,' explains Dr. Amitha J., a Melbourne psychiatrist. Everyone’s brain is wired differently, so that sweet spot often shows up at different times for different folks.

This med is generally considered gentle as far as antidepressants go. It doesn’t have as many food or drug interactions as older types (like MAOIs). And it won’t make you bounce off the walls or act like someone else entirely. Most people just describe a subtle improvement—colors seem a bit brighter, stuff feels less overwhelming.

Year Celexa Approved Country Common Dosage (mg) Main Use
1998 USA 20 Depression
1999 Australia 20 Depression
1998 UK 20 Depression, Anxiety

Celexa is also on the World Health Organization’s List of Essential Medicines, which means experts everywhere see it as safe enough and important enough for just about any country’s pharmacy shelf. That’s saying something in the crowded world of antidepressants.

Side Effects and Safety: The Honest Lowdown

Side Effects and Safety: The Honest Lowdown

Let’s be real—every medication has side effects, and Celexa is no exception. Some people get off easy: maybe a bit of dry mouth or mild nausea that fades after the first week or so. Others aren’t so lucky. The most common issues?

  • Sleep problems
  • Headaches
  • Groggy mornings
  • Lower libido
  • Upset stomach
Sex drive is probably the side effect most folks dread but rarely talk about. Even at moderate doses, some people notice it’s harder to feel desire or reach orgasm. But here's the twist—not everyone gets this, and sometimes the benefits (like finally getting out of bed) make it a fair trade-off.

You might wonder if you’ll turn into a zombie or lose your sense of self on Celexa. That’s a common fear. In reality, if a med leaves you numb or flat, docs recommend a dose change or swapping brands. You should still feel like you, just with less of the crushing sadness. If you get hit by a side effect that doesn't quit—like relentless nausea, shakiness, or big mood swings—let your doctor know pronto. There’s almost always another option.

Celexa carries a warning about ‘QT prolongation’—fancy speak for a rare heart rhythm problem. Docs usually screen for this with an ECG if you’ve got a history of heart issues, especially if you’re on other meds. The risk is low for most, but it’s why going over 40 mg daily is no longer recommended by health authorities in Australia and internationally.

What about quitting? If you stop Celexa suddenly, you might feel dizzy, out of it, or jittery (what the internet sometimes calls ‘brain zaps’). So, always taper off under supervision. It can take weeks to fully wean from it, but a steady hand wins this race every time.

Some extra details worth knowing: Celexa is not recommended during pregnancy unless it’s clearly needed, since some studies link high doses to heart issues in newborns. And mixing Celexa with alcohol isn’t a good idea—most people get more sedated and may even wake up foggier than usual.

Side EffectFrequency (%)
Nausea20
Dry mouth15
Sleepiness14
Headache18
Sexual Dysfunction16

If you’ve heard people talk about "serotonin syndrome," relax; it’s very rare unless you mix Celexa with other drugs that jack up serotonin. Watch out for combos with other antidepressants, certain migraine meds, or even popular supplements like St. John’s Wort.

As Dr. Henry Kinsella, a professor of psychiatry at UNSW, puts it:

"The vast majority of patients tolerate citalopram well. The benefit-to-risk ratio is excellent if you follow basic safety guidelines."
Stick to prescribed dosages and keep your doc in the loop about anything new or weird going on.

Real-World Tips for Taking Celexa and Getting Results

Real-World Tips for Taking Celexa and Getting Results

If you’re eyeing Celexa (or already have it sitting in the bathroom drawer), here’s what will help you get the most out of it:

  • Routine wins. Take your pill at the same time every day. Morning or night, just stay consistent—it helps with both absorption and remembering.
  • Patience matters. Don’t get discouraged if week one is uneventful. SSRIs work quietly and need time to build up in your system.
  • Don’t go solo. Keep your mates or family in the loop. Sometimes loved ones spot improvements or side effects before you do.
  • Watch the extras. Some cold meds, weight loss pills, or even certain painkillers can clash with Celexa. Read labels or run new meds by your pharmacist.
  • Say something. If you feel off or unwell in a weird way, don’t try to tough it out. Doctors want to hear about it, and there’s no bonus points for silent suffering.
  • Alcohol and Celexa don’t mix. You might be able to have a drink, but for many, alcohol dulls the benefits or makes them feel tired for days.
  • Write it down. Jotting how you feel in a notes app or diary can help track whether the med is working or causing problems that you’d otherwise forget about.
  • Pair it up. Medication works best with healthy routines—regular sleep, moving your body, having a chat (even if it’s just a text) with a mate, and eating decent meals.
  • Ask about generics. In Australia, generics like citalopram are widely available and much cheaper than brand-name Celexa. Same stuff inside, just different packaging.

Zooming out, Celexa’s reputation comes from decades of success stories balanced with the odd speed bump. Did you know some users even say this med helps them feel like their old selves again, able to joke at a BBQ or actually laugh at a movie night? While it’s no magic wand, for many, it’s a game-changer—especially when stuck in a depression rut.

Still, it’s good to check in every so often. Long-term use sometimes makes people curious if they could manage without meds. The answer isn’t one-size-fits-all. But Australians have excellent support from GPs and mental health services if you ever want guidance for a gentle taper.

Celexa changed the odds for people dealing with depression and anxiety. While not everyone makes a perfect match, its mix of effectiveness, safety, and real-world practicality has kept it popular in Melbourne and across the world. If you’re thinking about starting, switching, or stopping this med, the best step is an honest chat with your GP—because nothing beats a treatment plan tailored just to you.

50 Comments

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    John Rendek

    May 31, 2025 AT 03:38

    Celexa isn't magic, but it's one of the few SSRIs that actually lets you stay functional while your brain recalibrates. I've seen patients go from barely getting out of bed to holding down jobs after six weeks. Patience is everything.

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    Sonia Festa

    June 1, 2025 AT 20:19

    Let’s be real-Celexa’s just the chemical version of a really good therapist who doesn’t charge $200/hour. I took it for 8 months, didn’t feel like a zombie, and finally laughed at a meme without crying. Best $12 a month I ever spent.

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    Ryan Tanner

    June 2, 2025 AT 01:30

    For real though-take it at night if you’re groggy in the AM. And drink water. Like, a lot. Seriously. My dry mouth was wild until I started chugging. 🙌

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    Sara Allen

    June 2, 2025 AT 22:39

    They say Celexa's safe but what they don't tell you is Big Pharma put it on the market because they found out serotonin makes people easier to control. You think you're better but you're just chemically docile. Wake up sheeple.

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    Amina Kmiha

    June 4, 2025 AT 19:41

    OMG I KNEW IT 😭 Celexa is a government mind control tool disguised as antidepressant. Look at the WHO list-they're pushing it everywhere because they want us numb! And don't even get me started on the 40mg cap... they're hiding the truth! 💀 #CelexaCoverUp

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    Emily Barfield

    June 6, 2025 AT 13:04

    What is 'normal,' really? If Celexa makes me feel less like a drowning person and more like someone who can pay bills and remember birthdays... is that healing, or just adaptation? And if adaptation is the new baseline, what does that say about the world that demands it?

    Is the medication fixing me-or just making me fit into a broken system?

    And why do we pathologize sadness so aggressively that we hand out pills like candy at a parade?

    Don’t get me wrong-I’m grateful for the relief. But I’m also terrified of what we’ve normalized.

    Is this medicine... or surrender?

    And if I’m not sad anymore, but I’m not *me* anymore... who am I?

    Is serotonin the answer-or just the quietest kind of surrender?

    Why do we treat the symptom and never the source?

    And if I take this pill for ten years... will I forget what it felt like to feel everything?

    Is peace worth the erasure of pain?

    Or is pain just... the price of being alive?

    I don’t have answers. Just questions. And this pill. And a quiet, trembling hope that maybe, just maybe, I’m not broken.

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    Jessica Adelle

    June 8, 2025 AT 08:31

    It is deeply concerning that the medical establishment continues to promote pharmacological intervention as the primary modality for treating mood disorders, particularly when evidence suggests that socioeconomic deprivation, chronic stress, and societal alienation are the root causes. To prescribe citalopram as a panacea is not only medically irresponsible-it is ethically indefensible.

    Furthermore, the normalization of SSRI use among young adults represents a systemic failure of civic responsibility, wherein the burden of mental health is offloaded onto the individual, rather than addressed at the institutional level.

    One must question the integrity of a healthcare system that incentivizes pharmaceutical sales over holistic care.

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    Sai Ahmed

    June 9, 2025 AT 22:29

    Why does Celexa work better in Australia than here? Coincidence? Or are they testing it on us? I’ve heard the FDA approves drugs slower because they’re scared of lawsuits. But Australia? They’re just handing it out like candy. Something’s off.

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    Ted Carr

    June 10, 2025 AT 04:37

    Oh wow, a whole article about Celexa and not a single mention of how it makes you crave pickles at 3 a.m.? Groundbreaking.

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    Abigail Jubb

    June 11, 2025 AT 18:04

    How quaint. A humble little pill that 'helps' you feel... okay. But what about the poetry of despair? The depth of soul that only true suffering can cultivate? You traded your inner storm for a beige emotional landscape. How... bourgeois.

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    Robin Annison

    June 12, 2025 AT 07:38

    I’ve been on Celexa for 4 years. I still cry sometimes. But now I can call my mom without feeling like I’m burdening her. That’s not a cure. It’s a bridge. And I’m grateful for it.

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    Rebecca Parkos

    June 13, 2025 AT 13:15

    So many of you are acting like Celexa is the devil. I was suicidal. I took it. I didn’t turn into a robot. I got to hold my nephew for the first time without wanting to disappear. If you’re judging, you haven’t lived in the dark. So shut up and let people heal.

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    Vrinda Bali

    June 14, 2025 AT 03:31

    One must consider the geopolitical implications of Celexa’s global distribution. The WHO’s inclusion of citalopram in the Essential Medicines List is not a medical endorsement-it is a strategic maneuver by Western pharmaceutical cartels to establish chemical dependency in developing nations. India, for instance, exports generic citalopram to Africa under the guise of humanitarian aid-while domestic mental health infrastructure remains underfunded. This is not medicine. It is cultural imperialism disguised as compassion.

    Furthermore, the 20 mg dosage standard is not evidence-based-it is a corporate compromise designed to maximize profit while minimizing liability. Higher doses are more effective, yet deliberately suppressed by regulatory bodies under pressure from insurers. The 'QT prolongation' warning? A distraction. The real danger lies in the erasure of indigenous healing practices, replaced by a one-size-fits-all chemical solution.

    Who benefits? Not the patient. Not the community. The shareholders.

    And yet, we are told to trust the system.

    What if the cure is the disease?

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    Albert Schueller

    June 14, 2025 AT 17:40

    Wait, the article says Celexa was developed in Denmark? That’s interesting-because I read a paper that linked Danish pharmaceutical research to Cold War-era mind control experiments. Not saying it’s true, but... why does every major SSRI trace back to Scandinavia? Coincidence? I think not.

    Also, the table says 1998 approval in the USA-but I checked the FDA archives, and it was actually 1997. Someone messed up. That’s not a typo-that’s a cover-up.

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    Reginald Maarten

    June 15, 2025 AT 19:22

    Actually, the WHO doesn't list Celexa-it lists citalopram. Brand names are irrelevant to the list. Also, the 40mg cap isn't 'internationally recommended'-it's a FDA advisory, not a global mandate. And the sexual dysfunction stats? They're from industry-funded trials. Real-world data shows closer to 30%. Also, 'brain zaps' aren't real-they're withdrawal-related neuronal hypersensitivity. You're not 'zapping,' you're just neurochemically unbalanced. And don't even get me started on the 'colors seem brighter' anecdote-that's placebo regression to the mean. Stop romanticizing pharmacology.

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    Bradley Mulliner

    June 16, 2025 AT 09:21

    People act like Celexa is a miracle. But if you're taking it because you're too lazy to go outside, or too scared to talk to people, or too entitled to sit with your own thoughts-then you're not sick. You're just weak. And now you've got a chemical crutch to hide behind. Congratulations. You turned your life into a pharmaceutical advertisement.

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    Rahul hossain

    June 17, 2025 AT 21:02

    It is a matter of profound regret that the modern psyche has come to equate emotional resilience with chemical compliance. One must question whether the proliferation of SSRIs reflects a genuine medical advancement-or merely the capitulation of a society unwilling to confront the existential void of late capitalism. The Indian subcontinent, for instance, has long cultivated emotional endurance through philosophical traditions such as Advaita Vedanta and Bhakti yoga-practices now discarded in favor of a daily tablet. Is this progress? Or is it the quiet death of the soul?

    And yet, I write this while taking my own 20mg. The irony is not lost on me.

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    John Rendek

    June 18, 2025 AT 19:40

    Some of you are overthinking this. Celexa isn’t a cult, a conspiracy, or a moral failure. It’s a tool. Like a cane for a broken leg. If it helps you walk again, use it. Don’t guilt-trip yourself-or others-for needing it.

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    Robin Annison

    June 19, 2025 AT 08:34

    I’ve been off Celexa for a year now. I didn’t taper fast enough. Got the zaps. Felt like my brain was rewiring itself with static. But I did it. And I’m glad I tried. Not because I ‘beat’ it-but because I learned I could survive without it. That’s the real win.

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    Ryan Tanner

    June 20, 2025 AT 08:52

    My therapist said the same thing as John. Celexa doesn’t change who you are. It just takes the fog off so you can remember who you were. I cried the first time I laughed without forcing it. That’s not a side effect. That’s a gift.

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    Rebecca Parkos

    June 21, 2025 AT 02:29

    Thank you for saying that. I’m tired of people treating mental illness like a personal failure. It’s not weakness. It’s biology. And sometimes biology needs help.

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    Sonia Festa

    June 21, 2025 AT 15:08

    Also, if you’re on Celexa and your libido’s gone? Welcome to adulthood. My husband says I’m less ‘intense’ now. I say I’m finally present. Take your wins where you can.

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    Emily Barfield

    June 23, 2025 AT 00:38

    And yet… what if the ‘fog’ was the only thing keeping me from the truth? What if the sadness was the only thing that made me feel real? Is peace worth the loss of depth?

    I don’t know.

    But I’m still here.

    And that’s enough.

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    Abigail Jubb

    June 24, 2025 AT 10:36

    How… pedestrian. You reduced the existential weight of human suffering to a chemical adjustment. How quaint. How… American.

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    Jessica Adelle

    June 25, 2025 AT 00:48

    It is precisely this commodification of emotional experience that renders psychiatric treatment inequitable. Those who can afford therapy, mindfulness apps, and nutritional coaching are the ones who benefit most from SSRIs. Those who cannot? They receive a pill and a pat on the head. This is not healthcare. It is social stratification with a prescription pad.

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    John Rendek

    June 25, 2025 AT 11:29

    And yet, for someone with no access to therapy, a $5 generic pill might be the only thing keeping them alive. You can’t fix the system in a Reddit comment. But you can save a life today.

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    Sonia Festa

    June 26, 2025 AT 13:39

    Also, side note: I took Celexa. I cried at a puppy video. I didn’t feel guilty. I just felt… human again. That’s all.

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    Amina Kmiha

    June 28, 2025 AT 04:35

    They’re coming for your brain next. Next it’ll be mandatory SSRIs in the water. You think this is about depression? It’s about control. Wake up.

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    Reginald Maarten

    June 28, 2025 AT 15:24

    Actually, the water supply isn’t fluoridated with SSRIs. That’s a myth. Also, the FDA doesn’t have the authority to do that. And you can’t even dissolve Celexa in water without it degrading. So… your conspiracy is chemically implausible. Try again.

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    Amina Kmiha

    June 29, 2025 AT 18:33

    Of course they say that. That’s what they WANT you to think. They’ve been doing this since the 1950s. Look up Project MKUltra. They’ve been testing mind control for decades. This is just the next phase.

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    Reginald Maarten

    July 1, 2025 AT 01:20

    Project MKUltra was about LSD, not SSRIs. And it was shut down in 1973. Celexa wasn’t even synthesized until 1989. Your timeline doesn’t work. You’re conflating unrelated events. That’s not paranoia. That’s poor research.

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    Amina Kmiha

    July 2, 2025 AT 07:43

    They rebranded it. They always rebrand. You think they’d leave evidence? Of course not. That’s why the WHO is involved. That’s why it’s ‘essential.’ They need it to seem legitimate. You’re being played.

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    Ryan Tanner

    July 3, 2025 AT 12:31

    Bro. I just wanted to feel less like I was drowning. You’re arguing about MKUltra while I’m trying to remember what my kid’s laugh sounds like. Can we just… let people have this?

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    Rebecca Parkos

    July 5, 2025 AT 05:52

    Thank you. That’s all I needed to hear.

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    John Rendek

    July 6, 2025 AT 20:20

    Some people need a pill to get to the point where they can start healing. That’s not weakness. That’s survival.

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    Sonia Festa

    July 7, 2025 AT 13:12

    Also, if you’re on Celexa and your cat still loves you? That’s a win.

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    Rahul hossain

    July 7, 2025 AT 19:10

    Perhaps the most profound irony lies not in the drug itself, but in the fact that we now measure human worth by chemical compliance. We are not broken. We are merely out of sync with a world that demands constant productivity, emotional suppression, and performative cheer. Celexa does not heal the wound-it numbs the sensation of its existence. And yet… we take it anyway. Because to feel everything, in this world, is to risk annihilation.

    So we choose the quiet.

    And we call it healing.

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    Bradley Mulliner

    July 8, 2025 AT 04:55

    So you admit it. You’re choosing numbness. That’s not healing. That’s surrender.

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    Robin Annison

    July 8, 2025 AT 20:43

    Maybe. But surrendering to the dark is what almost killed me. Choosing to feel again-slowly, painfully, one breath at a time-that’s what saved me. Celexa didn’t take my pain away. It gave me the space to learn how to carry it.

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    John Rendek

    July 10, 2025 AT 00:13

    Exactly. You don’t have to choose between ‘cured’ and ‘broken.’ You can be both. And that’s okay.

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    Sonia Festa

    July 11, 2025 AT 09:43

    Also, I still hate Mondays. But now I can text my friend and say ‘I’m not okay’ and not feel like a burden. That’s the whole damn point.

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    Ryan Tanner

    July 11, 2025 AT 18:39

    My therapist said something I’ll never forget: ‘You don’t have to be happy to be well.’ Celexa didn’t make me happy. It made me able to try.

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    Abigail Jubb

    July 13, 2025 AT 04:57

    How… tragically mundane. You’ve turned the sublime struggle of the human condition into a productivity hack. You don’t want to heal. You want to be efficient.

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    Emily Barfield

    July 13, 2025 AT 13:10

    Efficiency is not the enemy. The enemy is the world that tells you you must be efficient to be worthy.

    And if Celexa lets you breathe long enough to question that… then maybe, just maybe, it’s not the problem.

    Maybe it’s the pause.

    Before the storm.

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    Jessica Adelle

    July 14, 2025 AT 07:01

    And yet, the system that commodifies this ‘pause’-that turns it into a pill, a subscription, a branded solution-is the same system that refuses to fund public mental health clinics, paid therapy leave, or universal housing. The pill is a Band-Aid on a hemorrhage.

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    Robin Annison

    July 15, 2025 AT 14:17

    Yes. And I’m not saying we shouldn’t fix the system. I’m saying that while we fix it, some of us are still drowning. And a pill? It’s a life raft. Not a solution. But it’s enough to keep me above water until help arrives.

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    John Rendek

    July 17, 2025 AT 07:55

    That’s all any of us can ask for.

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    Sonia Festa

    July 18, 2025 AT 23:33

    Also, I ate ice cream last night. Just because. No guilt. No shame. Just… me. And I liked it.

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    Ryan Tanner

    July 19, 2025 AT 21:36

    Same. And I didn’t even feel bad about it. That’s the real win.

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    Emily Barfield

    July 20, 2025 AT 15:54

    And that… that’s the quiet revolution.

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