Hi All

I've been on and off ADs for about 20 years. Last September I moved from Mirtazapine to 20mg of Fluoxetine because I didn't feel the Mirtazapine was working as well as it should have been. Fluoxetine was the first AD i ever used and it worked really well, which is why i wanted to go back to it.

Over the following weeks and months my Fluoxetine dosage was increased and now I'm currently on 60mg of fluoxetine and 45mg of mirtazapine and I'm still not feeling as well as i know i should be.

There was a 2 week period at the beginning of February when i actually felt 'normal'. This was when the doc added 15mg of mirtazapine into my 60mg of fluoxetine for the second time. I felt 100% better but slowly, over the days and weeks, my mood has subsided. Subsequently my doc has increased the mirtazapine to 30 and now 45mg. I've been on 45mg for a week and my anxiety level is very high.

My doctor is a lovely man but i do feel as if he doesn't know what to do with me. I've asked if my surgery has a mental health specialist and they said "no".

Does anyone have any suggestions as to what might help me?

Any help would be very much appreciated. I am hopeful that i can find a medication that helps me, given that 2 week period of feeling fine, but i really don't think I'm there yet.

Incidentally, i've also started to practice mindfulness meditation and started running. I am very optimistic that both of these will be great as preventative measures but I need to feel well before i am able to embrace them wholeheartedly.

Thanks for your time.