I don't mean physical talking I mean, small talk? I jst have an empty head with nothing to say I feel awkward and irritable. Have been on sertraline for 10 days and tbh my mood is worse now than when I first started taking them. I cannot think clearly or make any kind of decisions. Am tired all the time but struggling to find the motivation to go to bed. I take amitriptyline 50mg before bed for burning pain (ms) and sertraline 50mg in the morning. I am losing it I think.