Hi all...really didn't think I would need to post on this forum but remembered how helpful everyone was - moreso than a lot of GPs tbh, no disrespect.
I've had anxiety issues on and off all my life, I'm 39 now. Nothing to debilitating but definitely negatively impacting. Some social anxiety, lack of faith in abilities etc. At times I get by like a 'normal' person, other times it sends me crashing, like now. :-(
Two years ago I had a terrible time with anxiety and insomnia which I eventually improved with SSRIs and mental health group work / mindfulness. The social anxiety improved quite a lot. I then stuck to citalopram and I found mirtazapine very good for sleep. When I sleep everything is so much easier, stating the obvious I know.
Recently work has been very tough financially (self-employed) and have had 3-6 months of depression moreso than anxiety. It was a reverse of two years ago. I tapered myself off citalopram and think that's where I made a mistake. I went back to the doctor and she prescribed fluoxetine but then all my anxiety came back because I stopped sleeping and feel dreadful again. I struggle to drop off then I'm awake 3 hours later panicking because I can't sleep yet again.
Anyway I'm looking to get back on citalopram and mirtz for sleep 7.5mg. While I'm sure this will improve things pretty soon, what's the long-term solution I ask myself??
I used to be able sleep pretty well up until 2 years ago and then a couple of random bad nights turns into a monster and I'm back on the night time meds and having a meltdown.
Maybe I just need to stick to citalopram for a longer period and the rest will follow - plus keep up the mindfulness, exercise, decent diet which I try to do as much as possible.
I guess I'm just scared that at any time in my life I can just drop like this with an adverse effect on work, relationships and well-being.
Most people wouldn't imagine I suffer from this for a minute, I usually come across quite confident and together, but it's like a periodic private hell and I feel alone, embarrassed and worried.
If anyone is going through the same I'd appreciate your thoughts / experiences.