Thanks for your reply DIANE.
With antidepressant treatment, the first symptoms to improve are often poor sleep and appetite. Other symptoms such as anxiety, depressive symptoms,and couple of others are the next one to improve.
It appears to me that you are very much sensitive to the side effects of drugs and every drug has some of its side effect. I wonder, have you ever been given the option of psychotherapy such as Cognitive Behavior Therapy which has shown very good result in cases of anxiety and depression and we specially recommend it to those patients who are not able to tolerate medicine very well.
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You may try Prozac in combination with Antianxiety drugs such as Klonopin / Xanax. Antianxiety drug will initially control the anxiety symptoms because of antidepressant and once your condition is stable, it will be tapered off and you can continue with Prozac.
Lithium as such is not useful for treatment of depression alone in my view. It is also associated with lot of weight gain.
You can discuss with your treating doctor about the various options I have mentioned above.
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