whats worse, suffering a TEMPORARY rise in anxiety/depression with the strong possibilty that it will ease within a couple of weeks, or face the prospect of your anxiety/depression worsening on its own for an indefinite period? im a med phobe as well and had to bite the bullet. its not easy to stick with at first, but keep your eyes strongly fixed on the long term goal. stick at 10mg until you feel ready to go up to 20mg. you may not have to go to 20, but keep that as an option for the future.