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What Happens If an Antidepressant Isn’t Working?

  • Writer: Pine Ridge Mental Healthcare
    Pine Ridge Mental Healthcare
  • Jan 1
  • 1 min read

January 1, 2026

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If an antidepressant isn’t working, it does not mean treatment has failed. Psychiatric care often involves adjusting dosage, switching medications, or exploring additional treatment options based on how your body responds.


Why Antidepressants Don’t Always Work Right Away

Reasons a medication may not be effective include:

  • Insufficient dosage

  • Not enough time on the medication

  • Side effects limiting effectiveness

  • Incorrect medication for the specific condition

Response varies widely between individuals.


What Are the Next Steps?

A psychiatric provider may recommend:

  • Adjusting the dose

  • Switching to a different medication

  • Adding a complementary medication

  • Incorporating therapy or lifestyle changes

  • Exploring advanced treatments such as Spravato for treatment-resistant depression


How Long Should You Try a Medication?

Most antidepressants require several weeks before full effects are seen. Changes should always be guided by a psychiatric clinician.


Treatment-Resistant Depression Options

For patients who have tried multiple medications without improvement, advanced options like Spravato (esketamine) or Ketamine may be considered under medical supervision.


Support at Pine Ridge Mental Healthcare

Pine Ridge Mental Healthcare specializes in personalized psychiatric care, including treatment-resistant depression management. Providers work closely with patients to adjust treatment safely and effectively through in-person and telepsychiatry services in Oklahoma.


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