Do I need different anti depressant/ higher dose?

Hi can anyone advise. Started citalopram 40mg due to what felt like a very sudden onset of anxiety triggered by a health concern. I knew straight away there really wasn't anything to b concerned about but the anxiety kept coming stronger and stronger, my appetite went and I was restless cldnt sleep. After the initial taking of citalopram and experiencing horrible side affects I started to set again, sleep properly again and was feeling considerably less anxious. For roughly 7 days I felt quite high and full of nervous but constructive energy, I also felt sttng that I didn't need to sob and cry but the last few days my anxiety has started to return and I'm very emotional and down.  I feel like where I was turning a corner iv stepped backwards.Iv been taking citalopram for roughly 4-5 weeks. Is this normal to feel like things are improving then lke their not? Does this mean I need a higher dose or alternative anti depressant ? Thanx in advance for any advice. 

Most docs would want you go 6-8 weeks to try them.  I've been on for 11 weeks a d doc has  took me off them as we're only causing bad side effects a d starting me on venlefaxine.  

also 40.mg is pretty high starting dose so your side effects will  hightened

NOTHING goes in straight lines, t'aint natural. Your return you your old self is the same. Even people without our problems aren't always up, they have their down times too. When reality is different from our expectations it gives a double downer because of the disappointment. You're on the highest dose that I would try at your stage ( I am on 40mgs and will never stop ). My advice if it's worth anything is a) concentrate on the positives and b) Wait until the fluctuations in your chemical imbalance have stopped affecting you. You will feel better soon, rely on that.

NOTHING goes in straight lines, t'aint natural. Your return to your old self is the same. Even people without our problems aren't always up, they have their down times too. When reality is different from our expectations it gives a double downer because of the disappointment. You're on the highest dose that I would try at your stage ( I am on 40mgs and will never stop ). My advice if it's worth anything is a) concentrate on the positives and b) Wait until the fluctuations in your chemical imbalance have stopped affecting you. You will feel better soon, rely on that.

Thanx for your comments. I haven't lost my appetite again and I'm able to do things I cldnt a few weeks ago. I just thought that with a noticeable improvement things wld continue that way. I think my greatest fear is that I won't get better and I'll b stuck in this horrible cycle. The real me isn't afraid or anxious of everyday things and I hav two young beautiful children I just feel very scared that I won't get to b the real me again. 

Hi I believe your doctor has started you on a high mg should start like 10mg for a week or 2 then 20mg and so on. No wonder your getting nasty side effects. See a different doctor. Sertreline is also a good one to try. Side effects was lower for me on them.

Iv passed the side affect stage and my doctor put me on that dose because I was on that high before. But since feeling a dip the last few days I'm worried I'm no longer proving, but bck peddling this is y I'm wondering if I need a higher dose to get me bck on track to healing. 

She's there, she'll be back soon. Don't expect too much too soon. Balance takes time. You've been down, things are getting better and will continue to do so. I started on 20 mgs but felt it was necessary to double the dose and prevailed upon the doc to prescribe that. I'm sticking with 40 MG's and apart from feeling very sleepy from time to time don't seem to have a great numbers of side effects. Okay I clench my teeth a bit but stop when I catch myself doing it. I changed the time I take my pills from the morning tooth clean to the before bed one and have lessened the tiredness during the day. Even with the children it is wise if you really start feeling shattered during the day to grab an hour's power snooze. Easy for me to say of course a) I've only got dogs and b) I'm retired!

Concentrate on the good bits ie all the things you can do that you couldn't before, don't expect too much and that real you will be looking back on a his thread and wondering what she was worried about!

Thank you I'm praying for it everyday