Hi all. I’ve been on setraline for 4 weeks now after swapping from citalopram. I was on citalopram for a while so was a big decision to change but I didn’t feel it was helping any more. Over the last year I’ve had increased anxiety, depression and sleep on and off and wanted to do something about it. It’s was a tough decision and now one I’m slightly regretting. I’m doing all the positive lifestyle actions such as good diet, exercise, meditation, journaling etc but always have so no change. The switch has been really tough. First two weeks to three weeks I had heightened anxiety, derealization, low mood, brain fog, sleep issues, and loads of adrenaline that is constant. I was hoping for some improvement by week 4 and although the worse side effects have settled somewhat I don’t feel I’ve made any progress with mood, sleep and anxiety at all. I just don’t feel like me. Doctor wants me to persist before trying something else and kept me on 50mg. I’m concerned setraline is not the right AD due to it’s activating properties which I think I’m sensitive to. I’m going to persevere for now because I think the last 4 weeks would have been a waste. I’m just hoping for some reassurance and inspiration to carry on with Setraline. Does it get better, will the anxiety ease, does the heightened adrenaline fade and do people moods eventually lift. At present it’s all consuming and I feel disappointed by it all.