anxiety and stress
"You have to give this medicine time to work. At first it made me very anxious and nauseated. Started with 20 mg. after a month the anxiety came back so my doctor upped it to 40 mg.. More nausea and anxiety (Xanax helped this transition), but now, after about 13 weeks, I feel great. I just had a very challenging 10 hours at work and feel like a million bucks. It helped me get my gratitude back. No longer grumpy and ill willed. It made me realize how deep my depression was and how long it had been since I'd been normal-feeling: 30 years. Sleep and exercise are key. If you think you have sleep apnea, get a doctors diagnosis. If you don't exercise, get walking. These are key things that make antidepressants more effective."