tricyclics as a first-line treatment

What the hell did I just read?

It’s not fear mongering. People need to be aware of the potential consequences prior to taking medication long term. Long-term usage causes (sometimes permanent) cognitive damage and withdrawal absolutely can cause psychosis, seizures and coma. Should you avoid medication if you need it? Absolutely not as the negatives are pale in comparison to the positives, but let’s not pretend that those side effects are extremely rare.