Seems like all the SSRIs and SNRIs are going to cause blood spots. The older TCA ADs are likely to be a better bet. Either amitriptyline, or nortriptyline. Amitriptyline still has a significant effect on serotonin, but less so than SSRIs/SNRIs, with nortriptyline being mostly a noradrenaline, aka norepinephrine, reuptake inhibitor with only a weak impact on serotonin.