Hi Laheed.
Thank you so much for taking the time to write your post!
Firstly, I am very sorry to hear about your bereavement and burn out! I'm really glad that the Sertraline is helping you through such tough times.
Your post have given me a lot of hope and I am really pleased that I seemed to be following your path to recovery. I know that everybody is different and things might turn out differently for us, but its nice to know that I seem to be heading in the right direction. Your definitely right that the thoughts recede first and a battle takes place. Everyday I feel that the tablets are edging closer to winning that battle. I'm finding it more difficult to get upset about the things I used to. Even in the mornings which are always the hardest. I did get down this weekend being a sunny bank holiday and feeling trapped and lonely but nowhere near as down as I would have done without the tablets.
Your right about the lag with the physical symptoms as well. I think that you get so used to the physical symptoms that you expect them to happen even if your thoughts are elsewhere. Its like a involuntary reaction. It might take a little while to adjust to having less negative thoughts and not automatically developing the physical symptoms. Of course, like you say in the meantime expecting the physical symptoms is enough to bring on the anxiety.
I like to think of the tablets as a crutch. They give you the strength to get out there and make changes to your life. If you can flood your head with positive thoughts as well from therapy, hypnotherapy etc then soon enough thought patterns should change. The tablets will stop you automatically reverting to the negative thoughts and the talking therapy can then fill the empty space where the negative thoughts used to be with positive thoughts. Or so i'd like to think .
Once things start to go right and experience good days the positive vibes and confidence should build and snowball.
I have actually had quite a positive day today. There were two reasons for me starting this thread really. Firstly to let others know of my experiences and secondly to keep a record so I can see how far I have progressed over the weeks. Given the state I was in a few months ago, being neutral now is a huge step forward.
Thanks again and hope you have had a good day!