Our expert says:
It can take 2 to 3 weeks for most antidepressants to show whether they will suit you or not. So if 20 mg had not helped within a month at most, one might have either moved up to the higher dose, or switched to a different antidepressant. You have been very patient. I wonder if you are perhaps being treated by a GP rather than by a specialist psychiatrist. IF so, seeing a psychiatrist for a review of your situation would be wise. A different antidepressant, possibly adding CBT counselling ( a particular method with good evidence of its effectiveness ) should be able to help you to clear up this depression at last
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