From my experience antidepressants are prescribed for many people with a TBI and sometimes there can be a reluctance to take such medication, given all the negative things you'll find on the internet.
I'm currently on Mirtazapine 45mg and a friend urged me to look up all the negative feedback, in fact he stopped taking a dosage of 30mg after 3 months
This was due to the common negative effects reported, such as weight gain and 'Zombie' like feelings during the day, both of which he experienced. In fact Mirtazapine is prescribed for anorexia, to promote eating. All these negative symptoms are well recognised and not just skewed by negative experiences being reported on the web.
As I experience chronic fatigue the Zombie like symptoms were of particular concern along with the common symptom of having a negative effects concentration.
However after 2 weeks I was getting up at the normal time and it had no effect during the day.
After 6 months I had a check up at my GP surgery and I'd lost 2 lbs in weight, go figure.
When my Neuropsychiatrist said he wanted to prescribe anti-depressants I challenged the wisdom of this decision, as clinical trails are done on 'normal population studies'
Whilst he acknowledged my concern was valid, he felt able having seen my Neuropsychology report.
Unfortunately (fortunately), I've not had a need to see the Neuropsychiatrist to discuss whether my experience may be due to my TBI.
What have others experienced, mine has been very positive.