Please start taking therapy. It's beneficial and can help medicine to work better.

Hi It is always good to take therapy along with medicines. Mental disorders treated along with both will have far more sustainable results than just medicines.

It is clear that you have been managing these challenges for a long time, and seeking support is a significant and brave step toward your well-being. When dealing with Generalized Anxiety Disorder (GAD), it is helpful to view psychotherapy as a long-term commitment rather than a quick fix. Through consistent, structured work, you can develop the resilience needed to navigate future stressors and learn practical tools to address the underlying anxiety patterns and negative thinking cycles that keep the GAD going.

Hi! For Generalized Anxiety Disorder (GAD) and Major Depressive Disorder (MDD), a combined approach works best. Counselling helps manage thoughts, emotions, and coping skills, while psychiatric treatment supports biological balance. Together, they provide more effective and lasting recovery.

Hi psychotherapy is very helpful for you

Hi, You’ve been fighting this for ten years. That’s not weakness. That’s endurance. First, the sexual side effects on SSRIs/SNRIs are common. They’re not “in your head.” They’re a known biological effect of increased serotonin dampening dopamine and sexual signaling. Your body is responding predictably. Second, the suicidal thoughts on bupropion within a week that matters. Rapid emergence like that is a red flag for you personally. That medication may not be your match, even though it works well for others.. Your mirtazapine dose (3.75 mg) is basically being used as a sleep regulator, not an antidepressant. At that low dose, it mainly acts as a sedating antihistamine. That explains why you can’t drop it without insomnia returning. What matters most right now is this question: Are your current symptoms mostly anxiety? low mood? low motivation? sexual dysfunction distress? sleep? Treatment direction depends on the primary suffering.

GSD and MDD needs to be treated in a holistic approach for complete recovery otherwise you might face a lot of side effects. It can be well treated with counseling sessions and homeopathic medicine effectively and without any side effects. You can consume both allopathic and homeopathic medicine together for some time to get stability and avoid relapse or withdrawal symptoms. Long term allopathic medicines may not do any good but can worsen the situation. You need to be patient enough during the holistic line of treatment You need an expert Homeopathic psychiatrist who is a good counselor.

Consultation with me is advised

Hi, I understand, that you have been navigating this for many years , that reflects strength. Medication adjustments are important and must always be guided by your psychiatrist, especially given your past reactions. But medication manages symptoms; it doesn’t always address the underlying anxiety patterns, negative thinking cycles, or emotional processing that keep GAD and depression going. With structured psychological therapy work can make a meaningful difference alongside medication. Anxiety and depression are highly treatable when both biology and behavior are addressed together. Most importantly , any return of suicidal thoughts during medication changes should be treated as urgent and discussed immediately with your doctor. With the right combination of medical supervision and psychological support, improvement is absolutely possible.

Hi, Please consult a Psychiatrist.

Hi, Consult a psychiatrist

Hi

Hi connect with the psychiatrist and a psychologist

Hi... This is a common issue and since you have not mentioned what you are seeking out here. I believe you're feeling stuck in this loop of anti-depressants- SSRI, NDRI, SNRI, NaSSA, etc. and seeking a way out. Most people with such conditions often misunderstand treatment or aren't properly guided on their recovery journey by the professional (doctor/psychologist) they are consulting. Professionals often avoid sharing prognosis in initial sessions to avoid any negative interferance caused out of stigma, prejudice, inhibitions attached to a mental health condition. But after 6-8 weekly therapy sessions (psychologist) or 2-3 months of medications (psychiatrist) have a fairly clear picture of what the person is suffering from and how long will it take for them to recover. Psychoeducation - 'Educating the client about how his/her treatment will work', is an integral part of their treatment and without it, the client feel lost, demotivated, and lacks confidence in his/her ability to recover. You can ask for a recovery status from the professional you are consulting and also seek guidance from other professionals by consulting them in a formal session. In most cases, therapy and medications go side-by-side but often clients have a prejudice about one form of treatment so they follow only the other one that they consider effective. This not only elongates their treatment duration but also creates hurdle in their recovery if they have opted for the part of threatment that is not the main cause of their condition. For example, if the cause is more psychosocial - therapy will take primacy. But if the cause is more biological, genetic, neurological - medications and other forms of treatment will become more relevant. I hope I have answered your query. Please trust the treatment and the professional you are consulting. You can always take a second opinion from another similar professional (psychiatrist, in your case) if he feels disillusioned.

It seems like a chronic illness, so it will take time to get better. Start with weekly counselling sessions.

Connect with psychiatrist and psychologist