Hi there, I have a bit of a complicated history but back in December got put on sertraline (SSRI) after anxiety & insomnia. I found it intolerable in terms of side effects- felt like I was going mad at one point & could not sleep at all. I came off after 8 days & then a few days later had a massive anxiety episode where Crisis team got involved. They prescribed Escitalopram & Diazapam. It didn’t have much effect & the pacing & panic attacks became more established. There was talk of upping to 20mg but due to sleep issues I was given mirtrazapine. I’ve been on it for 3 months but not really had that much improvement & now depressed, anxious & very pacey & stick in my thinking. The latest idea is to come off the mirt- I am reducing now, see what I am like without meds & then possibly try Duloxetine. It was that or Venlafaxine that was recommended. I was very scared of side effects & the difficulty in getting in & coming off Venlafaxine so Duloxetine was recommenced. It seems I am very sensitive to medication in terms of side effects. So please let me know your experiences of it. I have more than one week left of mirt then have a psych appt to follow up. My head is tight & now not sleeping as well on reduced dose &waking up very early. Thanks in advance. Has anyone come off & actually found that better? They have warned me about relapse but my husband thinks all the meds aren’t working & giving me worse side effects .