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 (palpitations). I constantly feel that it would be much better if no one argues with me. This fear is also affecting me badly.
The doctor has written 1-0-1 for taking Fludac 60 mg for OCD, but I feel lazy during the daytime because of the medicine’s side effects. Will there be any problem if I take it after 9 PM at night?
Hi Doctor I have anxiety and depression feeling regarding my past failures and I'm presently preparing for upsc.Exam is ahead.My fear and anxiety leads to shivering of my lips and sweating in hands
I do not know how to describe my situation but I have been anxious a lot lately, getting offended on small things, past incidents are coming to my mind and then I am getting angry about those things. I often notice myself day dreaming imagining a perfect world. I am facing lower confidence levels and procrastinating my priorities a lot, I am worried a lot, overthinking all the time, appears to me that my mind is never at rest. I scroll phone a lot and cannot find motivation to complete my tasks. I feel exhausted. My childhood was not very nice and those incidents still scares me and I am going on defensive mode. I need advice to cope up with my situation.
