Our expert says:
I absolutely cannot understand how any doctor, let alone a psychiatrist, could or would give anyone any new medicine, without explaining the benefits, risks, side-effects, and how, if necessary, to change from their existing meds (if any ) to the new medication --- it is their JOB to do that, and they are paid to do so, and not doing so is negligent. They should not leave it entirely up to their patient to ask the relevant questions, as we don't all know or remember what are the right questions to ask. Chopping and changing between significantly different antidepressants can sometimes be a complex matter, and your doctor MUST explain this carefully and clearly to you. It is difficult for me to do so, not knowing all that your own shrink presumably does, having examined and assessed you properly. Some of these ADs can, especially in people sensitive to such effects, be a bit over-stimulating and may even increase anxiety feelings, while others can be relatively sedative.
in ALL drugs, side-effects are at their maximum in the first couple of weeks as your system gets used to having them ( and their efects ) around, and then tend to fade --- and again, a competent doc will explain this to you at the time --- if one changes the drug every time someone reports initial side-effects, major benefits can be lost.
And one serious effects of such chopping and changing is that you end up having had NONE of the meds for long enough at a suitable dose, to have experienced their benefits, and feeling discouraged in exactly the way you describe, feeling as though nothing will ever work for you. Working with a more careful and confident shrink may make it easier for you to collaborate in the treatment and to persist with the treatment and achieve the benefits you deserve. Maybe a different shrink would suit you better ?
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