Choosing an occupation that places the offender in near proximity to potential victims and the use of sadomasochistic or pedophilic pornography are also involved with a even worse prognosis. The so-termed serotonergic (indicating brought on by serotonin) syndrome is a really serious neurologic affliction related with the use of SSRIs. High fevers, seizures, and heart-rhythm disturbances characterizes serotonergic syndrome.