Need help
I'm very new to taking anti depressants and seeing psychiatrists.
I initially started seeing her for depression/anxiety and alcohol abuse.
She started me on citalopram 20mg, about week 3 I was experiencing sexual side effects, delayed orgasm no libido, emotional blunting, anhedonia, lack of motivation and increased hunger.
It did resolve my anxiety and insomnia though.
At our one month follow up I expressed the issues with the side e and she started me on pristiq after a 3 day taper.
I immediately started having sleep disturbances along with irritability and aggression.
I reached out to her regarding the side effects stating she wished to follow up in a month.
After doing more research on SNRI's withdrawals and already having severe side effects I stopped and went back to citalopram.
After meeting with her again today she wanted to add a low dose of abilify and stay on 10 mg of citalopram.
During my own research it seemed like Wellbutrin may be a better fit as it would help offset some of the emotional blunting and motivational issues as well as sexual side effects.
She stated that she was hesitant to prescribe it to me as it may cause insomnia which is a high concern and that it was activating in May flare my anxiety, both of which I am willing to deal with. Still have not heard back from her to make a decision.
I don't understand why she would start me on a lower dose of an SSRI and take another medication that amplifies said medication if I was already unhappy with a lot of the effects, I'm not sure if I just need to see a new doctor or follow her suggestion
I'm also worried that she is disregarding my lack of motivation and anhedonia as depression and not side effects of the medication. One of the few things I do know well is my body and this is not how I experienced depression.
I do want to add that I am extremely bad at advocating for myself and this is the first time in my adult life that I have sought help and it's kind of just got me more upset and losing faith in the whole system.