Advice on anxiety meds

Post date: 2019-11-09 20:09:36

I've been unhappy with zoloft/sertraline and don't know if I should try something new or continue to make the best of things without it. What should I tell my psychiatrist?

I've had anxiety(maybe a bit of depression?) all my life, bad enough to make work, leaving the house, even stuff like sending emails a real problem. This spring I finally tried medication, after not making any progress in therapy, and it was great! I felt so much better, and I have been more confident and doing really well in my career. Unfortunately the side effects (I was taking 50mg sertraline) eventually caught up with me-lots of fatigue, some weight gain, but mostly the problem is the sexual side effects. Sex is a really important part of my life and being constantly disappointed by how I felt (numb, disconnected from my body) was too much. I stopped taking medication about two months ago, and I feel like myself again. But as time passes the anxiety is getting harder to keep a handle on. I have a therapist, and I'm working on this with her, but I'm afraid that I'll just slowly slide back down to the place I was in at the beginning of the year.
Should I try a different drug? A lower dose of sertraline? Should I keep on trying to tough it out unmedicated? I like my psychiatrist, but I get the sense that she is not going to take the sexual side effects seriously.

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