Choosing an occupation that puts the offender in near proximity to opportunity victims and the use of sadomasochistic or pedophilic pornography are also involved with a even worse prognosis. The so-identified as serotonergic (this means caused by serotonin) syndrome is a significant neurologic situation related with the use of SSRIs. High fevers, seizures, and coronary heart-rhythm disturbances characterizes serotonergic syndrome.