Choosing an occupation that places the offender in shut proximity to likely victims and the use of sadomasochistic or pedophilic pornography are also related with a worse prognosis. The so-referred to as serotonergic (that means brought about by serotonin) syndrome is a significant neurologic condition linked with the use of SSRIs. High fevers, seizures, and heart-rhythm disturbances characterizes serotonergic syndrome.