Depends on why it didn't work. How long did you take paroxetine and at what dose?
Imo, the pick of these are citalopram/escitalopram and sertraline. Trimipramine, mianserin and mirtazapine are not really antidepressants, but antihistamines which mostly ease anxiety by sedation and aren't really effective for depression. Mianserin and mirtazapine are nearly the same med. Mianserin was the makers first attempt and it soon proved useless so they came out with mirtazapine which is actually a weaker AD than mianserin. The fact it is still popular demonstrates the power of marketing and the placebo effect. That isn't only my opinion, see: Mirtazapine: dubious and misleading evidence supporting its dual action status and Mirtazapine: dubious and misleading evidence supporting its dual action status by Ken Gillman who knows more about antidepressants and neurotransmitters than most.I have set this list of meds that I still have faith in them, especially Abilify.
Antidepressant I didn't try:
TRIMIPRAMINE
MIANSERINE
SERTRALINE
FLUVOXAMINE
ESCITALOPRAM (I did not give it much time to see if it works or not)
DULOXETINE / CYMBALTA
CITALOPRAM
MAPROTILINE
MIRTAZAPINE
Fluvoxamine is generally the pick of the SSRIs for OCD spectrum disorders, but the TCA clomipramine is the better med, imo. the SNRI duloxetine is often very effective, but can produce severe side-effects at the beginning so I'd try the TCAs amitriptyline, imipramine, or clomipramine first.
All the neuroleptics and anti psychotics are sedating to some degree.Neuroleptics: (I hate zombie feeling drugs, I want something to give me mental energy and emotions like Clomipramine did to me before it pooped out)
ABILIFY
CLOZAPINE
SULPIRIDE
OLANZAPINE
...
(What do you think?)
Where you taking anything at those times which may have triggered, or worsened the psychotic episodes?Sorry that I didn't tell you that I had some psychotic ideas in past, once I gave my money on the street to people thinking that god was telling me things to do...
Also lost a job because one time I had paranoia and thinking god was telling me that my father did an accident on road after taking me to my job location and I had to quit the job to check the road where my brain was telling and lying to me.
But for now I learned to manage this problem, I don't respond to these psychotic obsessions anymore,
Your best chance of recovering is by taking an antidepressant daily exactly as prescribed for at least 12 weeks and none of the other crap you've experimented with. There is no quick fix. It will take months before you begin seeing positive results.the only struggle I have now is the extreme low mood and the zero motivation to do things I once enjoyed, like walking 6kms everyday and spotting old and interesting cars around me, collecting music, use my pc... I lost all interest because of the low mood...