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SSRI switch

2 replies

gratefulmuma · 15/05/2025 09:50

Hello,

I’m reaching out to hear from others who might have had similar experiences.

I’ve been taking fluoxetine (20mg) for about 20 years, originally prescribed for Body Dysmorphic Disorder (BDD). Around eight weeks ago, I transitioned to sertraline due to increasing anxiety. Since then, I’ve also been diagnosed with Obsessive Compulsive Disorder (OCD) and Generalized Anxiety Disorder. My doctor started me on 50mg of sertraline.

While I believe my anxiety has slightly improved, I’ve noticed a deeper sense of low mood since the switch. I feel more withdrawn, less motivated to engage socially, and often overwhelmed—especially when I’m with my partner and our two children. It’s hard to tell whether these feelings are side effects, part of the adjustment period, or simply the pressures of everyday life.

I’ve been considering whether to increase my dose, but I’m hesitant. I’m worried that a higher dosage might not help, or that I’ll end up overly reliant on medication. I recently read an article discussing the long-term effects of antidepressants and how they may alter the brain, which only added to my uncertainty.

Part of me just wants to feel better—to feel like I’m participating fully in life again. I see other parents, friends, and family members enjoying time together, and I can’t help but feel disconnected. I find myself constantly overthinking, being quiet with my partner, and feeling guilty for just wanting space.

I want to understand whether what I’m experiencing is part of the medication process, typical life stress, or something that needs addressing further. I’d really appreciate hearing from anyone who can relate or offer some insight.

Thank you so much for reading.
xx

OP posts:
DaftNoodle · 15/05/2025 18:01

I switched from citalopram 40mg last year to sertraline. Started on 50mg but moved up to 100mg and then to 150mg. Increasing the dose has been a game changer and my mental health has been the most stable than it has for years.

gratefulmuma · 15/05/2025 19:19

Thankyou so much for your response @DaftNoodle

When you say game changer how do you mean?

OP posts:
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