Hi,
I've been on Citalopram 20mg for just over 5 weeks now. The first few weeks were pretty good, but the last two weeks have been full of various setbacks. Anxiety levels have been high and I've had extremely bad derealization and depersonalization. This has led to plenty of intrusive thoughts and fatigue.
Despite this, I feel like my overall depression has actually improved a bit. I was previously bursting into tears once every week, but I haven't cried once since I started on Citalopram. I wouldn't say I've had many good days, just some good hours here and there.
Considering all of this, when should I think about upping my dose? I know they usually say wait 12 weeks before changing meds, but should I also wait that long before changing doses?