You need detailed assessment, also prescription optimization, many things are overlapping at once Consult

You need psychiatrist who monitors your actual symptomatic condition closely,which can’t be done with 2 monthly follow up,At least you need follow up of every 5 days to monitor your worsening symptoms..as drugs have stopped working on your body,still you r taking the same madications with same doses,there are also chances drugs have started showing side effects or it will if not be looked out,sertraline is SSRI group of drug,which can cause sexual dysfunction,digestion issues,another one is aripiprazole,which is antipsychotic group of drug which also comes with certain side effects like restlessness,movement issues if taken for longer duration with certain doses..

Hello. From your description, a few important points are clear. Generalised anxiety disorder can relapse, and the same medicines may not always work the same way again. This does not mean anything is permanently wrong with your brain. Symptoms such as reduced sleepiness, disturbed circadian rhythm (night shift), heaviness in legs, dizziness or falling sensation on bending, light sensitivity, and inner restlessness can be due to a combination of anxiety, sleep deprivation, and medication side effects (especially benzodiazepines like clonazepam and augmentation drugs such as aripiprazole).Dependence on clonazepam for sleep and needing stimulation to fall asleep suggests your sleep cycle is significantly disrupted. Long-term or increasing use of clonazepam can worsen sleep quality and cause daytime physical sensations. Night-shift work itself strongly affects circadian rhythm and can reduce the effectiveness of psychiatric medications and worsen anxiety symptoms. At this stage, the correct step is not to continue the same medicines without benefit, but to have a proper medication review. Your psychiatrist may need to adjust doses, change medications, gradually taper clonazepam, and add structured psychotherapy (CBT) along with sleep-wake regulation strategies.

Anxiety disorders can affect the entire body, not just thoughts. Over time, ongoing anxiety, night-shift work, disturbed sleep cycles, and prolonged medication use can lead to symptoms like restlessness, unusual body sensations, light sensitivity, and feeling mentally “flat.” When treatment that worked earlier no longer feels effective, it does not mean something is permanently wrong — it usually means the body–brain system needs reassessment. What you’re describing suggests a mix of active anxiety, sleep–circadian disruption, and possible medication-related effects, all of which are manageable with the right approach.

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That is quite normal. A person need not respond to the same medicine when the symptoms recur. Consult the same psychiatrist and explain the changes and get the medications revised for recovery. Good luck

Your symptoms suggest poor response + side-effects to the current regimen, not brain damage. This can happen in GAD. Key points (short): • Same medicines may stop working over time → dose change or switch needed • Clonazepam dependence / circadian disruption can cause dizziness, heaviness, poor sleep, emotional dullness • Night-shift + anxiety worsens symptoms (light sensitivity, eye pressure, falling sensation) What to do now: • Do not self-increase clonazepam • Consult psychiatrist for medication revision (change SSRI / taper benzodiazepine / add CBT) • Correct sleep–wake cycle gradually • Rule out anemia, BP issues, B12, thyroid if not done This is treatable and reversible with proper adjustment.