Our expert says:
To have a real antidepressant effect, ADs need to be taken each day. When one is being used purely as a sedative, and if this arangement works, one could indeed take it as and when required rather than every night.
Seeing a psych every 2 months works fine in the stable periods, but isn't maybe the best plan when one is starting a change in routine meds. Maybe she should in such situations arrange for you to call in for a brief phone chat to see how the changes are working.
In the situation you describe, I'd think it best for you to return to the previous dosage and schdule until you can discuss this with the psychiarist who knows you in most detail
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