Welcome to the site.
I am a psychiatrist and i believe i can help you with your problem.
Well, it indeed has been an immensely testing period for you since last year as both your personal health and family life have got themselves entangled into a major upheaval, which caused a lot of stress
and emotional exhaustion for you. Anyone in your position would have experienced similar state of mind when he/ she had known that things are goings exactly in a different direction than expected and one just could not do much to change them.
I empathize with you greatly since you have been enduring a lot of emotional trauma all this while but have shown a lot of courage and resilience in surviving this ordeal. It goes without saying that your divorce and mother's deteriorating health are highly unfortunate events which have taken away your peace of mind and added extra pressure upon you while you struggled against cardiomyopathy to save your life. However, since you have beaten the condition, so some sort of reprieve on the health front is to be appreciated which shall partly unburden your present predicament.
All these situations which invariably led to stress and possible depressed state of mind, need to be tackled one by one while you seek therapy and medication to help you cope better with this stressful period. It usually take 3-4 weeks for prozac to start its action, provided you have been stabilized by now on a potent dose of 40 mg/ day which usually works for an adult. I will like to suggest that you ask your prescribing doctor to add
an anxiolytic medication with prozac such as klonopin ( clonazepam ) at dose of 0.25-2 mg/ day albeit for a short period of 3-4 weeks so that the latter drug helps you to calm your nerves, bring peace to your mind, takes away stress and most importantly buys time for prozac to act which is a slow starter as far as showing its effect is concerned, yet it is a good potent remedy in such stressful situations. Also it will be prudent for you to know about other options of drugs which can replace prozac if it fails to deliver in the coming few weeks and these are -- lexapro ( escitalopram ) at dose of 10-20 mg / day or zoloft ( sertraline ) at dose of 25- 100 mg/ day, these are highly potent and relatively faster acting anti depressants which can considered if you do not find expected relief from prozac.
As far as your therapy is concerned, i will endorse its use since it will help you to learn coping skills so as to fight against present and future life stressors without letting your body to go into a depressed state. However, just try to remain patient with therapy as it take some time to provide results but it eventually does help to provide more strength to your mind.
I hope this sums it up for you.
Wish you all the best and speedy recovery. I shall keep you in my prayers.
Please kindly leave a Positive rating if you are satisfied with the answer.