Ramping up on an SSRI as well as coming off often can cause side effects. At this point, you're just getting to the point where is should be working. To come off cold turkey, while not dangerous, can be unpleasant. I would call your doctor or another in the practice and get a refill until you appointment. Also contact your pharmacy, they often can give you a few pills to hold you over until the prescription is renewed.

Positive thoughts