I am a student with recurrent anxiety and depression. I took escitalopram 10mg from January 2024 to April 2025 and did very well. Eight months after stopping, anxiety returned in December 2025 due to my father falling ill. This second episode was fifty percent milder than my first. I started sertraline 50mg which is working well for anxiety and depression.
However sertraline is causing emotional blunting, apathy, anhedonia and low motivation badly hitting my studies. I have no drive or spark to study despite mood being better.
Two weeks ago aripiprazole 2mg was added. Since then I have worse brain fog, lethargy, apathy, small mood highs and lows daily and poor sleep. Day twenty five now with no improvement.
My questions are One:Stop aripiprazole given poor tolerance at lowest dose after twenty five days. Need tapering?
Two : Is bupropion 150mg better augmentation for my apathy, anhedonia and low motivation with sertraline 50mg?
I am currently feeling very irritable, short-tempered, and restless. My mind does not stay calm or peaceful. I am unable to feel happy or relaxed, and often get a feeling of wanting to cry. I feel mentally exhausted.
Additionally, I have a strong fear of arguments or conflicts. When someone else argues or raises their voice, my heart starts pounding. I constantly feel that it would be much better if no one argues with me. This fear is also affecting me badly.
Sir, in ocd I get obscene image thoughts about my mother in my mind, and I was taking Fluni 60 mg for it. Now it is not available, so I am taking Fludac 60 mg. Is this the right medicine?
Developing habit of repeatative checking out things, doors ,switches ,numbers before final submission or execution out of fear that it might be missed or if it gets wrong. Due to this ,time gets waste and cycle of rechecking /sureity never ends. Solution please.
My nervous system never feels calm. I have a habit of doing everything on time, and if it doesn’t happen, I feel like something bad will happen. I get irritated easily, I’m always in a rush, and I can’t stay calm.”
