Chronic SSRI citalopram treatment increases NA concentration selectively in PFC. Chronic citalopram does not change somatodendritic α2-adrenoceptor sensitivity. Chronic citalopram induces selective α2-adrenoceptor desensitization in PFC. Reduction of α2-adrenoceptor-coupling to G-proteins is the mechanism involved. Addition of α2-antagonists to SSRIs could increase antidepressant response.