Choosing an profession that puts the offender in close proximity to opportunity victims and the use of sadomasochistic or pedophilic pornography are also connected with a even worse prognosis. The so-named serotonergic (that means triggered by serotonin) syndrome is a serious neurologic problem connected with the use of SSRIs. High fevers, seizures, and heart-rhythm disturbances characterizes serotonergic syndrome.