hi Geek, hope today goes well. I understand the need to go back to work - you're using it to distract yourself and provide a structure to your day. This is great but at the same time hard on your body and your mind.
I've struggled for years with anxiety and depression, mainly linked to a fluctuating and sometimes poorly managed thyroid as well as work stress. So I completely understand where you are coming from. Anxiety is extremely debilitating and a terrible cycle as it's linked to your adrenaline and the whole flight or fight thing - more adrenaline suppresses seratonin which in turn leave you feeling more anxious and so it continues. This might be why you feel worse when ill or during a period.
Due to my underactive thyroid being misdiagnosed and having a terrible do with ads when I was 21 I've always resisted ads. I managed my anxiety well with slow release beta blockers and cbt. This might be a good route for you to try? I was given a book called 'over coming: anxiety' by my therapist - there's a full range of them on all sorts of things and they're recommended by the nhs. for the first time I fully understood how anxiety worked, which helped, though I needed the beta lockers as well.
however in pregnancy I couldn't take the betablockers. I had terrible AND due to several weird circumstances. And then some level of PND and finally agreed to sertraline - best thing I ever did! I started very low though - 25mg initially, then 50 then 100. 200 is the max.
if you went to your Dr and decided to try a low level anti d do you think they'd sign you off work for a week or so to help you get used to the side effects? sertraline made me very drowsy initially and the full effects kicked in after 6 weeks, though I felt lots better after 2.
regarding your weight - you could look at it like this; if you were able to curb the anxiety, you might feel generally more positive and so possibly able to exercise more etc? Sertraline ironically made me loose a little weight at first.
It can take a while to find the 'right' anti d and you do kind of need to give them a good go but maybe discuss a low dose initially?
what ever you decide it might be worth simply opening a discussion with a Dr - you could ask the practice which Dr specialises in mh (though I bet they all do) and find out if there are any talking therapies availiable.
I very much hope you feel better soon
