Those of us who know what happens when you go off benzos or other psychiatric drugs cold turkey will readily recognize Solomon’s symptoms were not of “agitated depression” but of severe withdrawal. That harsh insomnia, the waves of shame, anger, irritability, even thoughts of suicide — all very familiar.
Solomon’s psychiatrist had no excuse not to know this. By 1995, withdrawal symptoms from tricyclics had been documented for decades, and SSRI withdrawal syndrome had become known. Papers on antidepressant withdrawal-induced akathisia date back to the ’70s.