I've been on Cipralex for two years, first six months at 10mg, then upped to 20mg/day. It was my first foray into pharmaceutical treatment; I was 26 and in recovery from a sexual assault, which had spawned a few psychotic episodes and terrible depression. It got rid of my anxiety
attacks, except the couple times I fell off the wagon and had alcohol (I've been sober for 2.5 years). The depression rose and fell as usual, but without the anxiety became manageable with my general mindfulness and routine.
Since mid-summer, I've noticed my moods have become much more erratic again, with huge bursts of energy and productivity and then short crashes of exhaustion. I assumed it would just go away, and was a function of lots of sunshine, but it's just been getting worse. Today, I had my first panic attack in over a year. I do not feel depressed currently; in fact my life is wonderful and I am generally positive about the improvements I've made in the past couple years. I'm doing everything right; I don't really understand what's going on.
I've never been diagnosed, as my care has always been somewhat temporary due to budgetary restrictions; I've always had issues of anxiety, depression, self-harm, self-medication, but the sexual assault aggravated them to a point where I recognised I needed medical help.
I have an appointment with the doctor who I saw regularly my first year on Cipralex later in the month, but I'm wondering if I should push to have one sooner. I'm not very good at calculating when I need help.