Firstly, I am absolutely delighted to hear that your doctor does not plan to "test my blood levels" because doctors who usually do blood tests to diagnose depression may be quacks, and are certainly seriously misinformed about the condition. There are NO such blood tests which are routinely needed to make the diagnosis properly, or needed before choosing a treatment to try. Hats off to your doc for his good sense !
OK, you then describe a number of symptoms and problems, some of which might be related to a depression, but some of which would benefit from proper skilled counselling from a psychologist rather than medication.
If you have been taking citalopram for a year without the main symptoms being relieved, or with troublesome side-effects, a different antidepressant might perhaps suit you better.
Weight problems and loss of sexual interest can be side-effects of some ADs, so I wonder whether these might have been caused by the citalopram.
Maybe your GP could refer you to a specialist psychiatrist for a fresh assessment and a discussion of treatment options ?
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