Hello All, I am a new member. Around 7 weeks ago i was prescribed 10mg of citalopram due to starting with bad anxiety attacks which actually caused me to give up my job being self employed. It was a bad decision that i cant now reverse and due to various circumstances revolving around the decision everything in my life has gone worse than i ever thought imaginable. I now have depression so bad that at times i want to end it all. My wife has said i need to move out if i don't sort my head out. We have 4 kids at home. In desperation i went back to the doctors today and she said go on 20mg of Citalopram. Is this wise as i honestly believe that this drug actually makes depression worse. Have others on here experienced worst depression have took these tablets?
Well for one, 7 weeks is very very early when it comes to starting an antidepressant. I know all the textbooks say around 6 weeks but in my past experience and others that I know of that is not the case. It can begin to start that early but very slowly, it’s really a roller coaster of a ride at first, ups and downs. I would continue on with one dose for at least 12 -16 weeks and really let that level out before I would consider switching. As far as your wife just let her know that its a slow process and to please be patient with you, that it really is a struggle. And I’m sure that you have heard of the term ‘fake it till you make it’ well sometimes that does help in my opinion, try to seem positive the best you can, and believe it or not even though you don’t really feel that way, you will be helping your mind to correct the negative thinking, it’s just like anything that we learn, the more we do it the more our minds become wired that way. Just something to think about, it might help.
I highly suggest that you speak with a therapist about your anxiety and depression. I know how it feels! I know your question was about the medication and what I have found is the type of Doctor Who knows the most about these medications are the psychiatrists. They work with these medications all the time. My psychiatrist worked with me until we found the right antidepressant for me. The primary care doctors don’t have as much knowledge about these specific medications. At the same time you could also talk about your depression.
don’t give up. When you find the right balance, you will feel better. 
Thanks!
Quite unreal how it escalates so rapidly. I am awaiting an appointment to see a therapists