How do you approach managing intolerable vivid dreams as a side effect of SSRIs?

Given that the dreams are described as intolerable, I would transition to an agent more favorable in terms of sleep architecture, such as vilazodone (Viibryd).

There are several distinct options I go over with patients who have this side effect.

1. It often self-resolves, but can take a few (up to 6) months to resolve, and there is no guarantee. If the patient is willing to tough it out, I often have them do nothing. But, we are talking about it being an int...