anxiety and stress
"I've been taking 50mg of Sertraline for a few months now. My anxiety tends to worsen in waves (crying randomly, constant stress, suicidal thoughts, insomnia, and panic attacks). Since I can go for weeks at a time managing fairly well on my own (aside from persistent self hating thoughts), I didn't think the medication was doing much of anything. I didn't notice any immediate changes or side effects. I am wondering now if I am having  a worsening urge to self harm? It  is worse at night and keeps me awake. I think it has to be due to the meds."