I have been on Citalopram for a year or so, and was doing well, but have had a lot of life stress (new baby(no 3)/move/DH away in Iraq) and so the Trickcyclist ahs upped my dose to 30 mg from 20. But now although I have no anxiety feelings, my bulimia is going haywire - gone from being in control to binging/purging to binging and not purging. Trickcyclist suggested going up to 40 mg a day but I am worried that a) it will not work and b)it will decrease anxiety to the point that the DCs could walk in front of a car and I would say'they'll be fine'. Not sure if anyone else will be able to help, but thought I would give it a go. Please be gentle with me - I cannot deal with tough love tonight.