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There are several options for management of someone with stubborn sleeping problems, anxiety and depression. The citalopram is an excellent antidepressant, but there are several other antidepressants that can be considered. Some can be used to augment the citalopram, such as trazodone, which can particularly help with sleep. There are also a number of antidepressants in different chemical classes. SNRIs are similar but also affect another chemical, and common examples include venlafaxine or duloxetine. There also are several antidepressants that act by unique mechanisms, such as bupropion, mirtazapine, or vortioxetine. There are also a number of medicines that can augment the antidepressants, such as quetiapine or aripiprazole.
If the citalopram helped significantly when it was started, I would usually first try to augment the effect, such as by adding trazodone.
If I can provide any additional information, please let me know.