Ive been in sertraline 17 months at 150mg daily and not feeling lifted

HI

IM in UK and have been in this anti depressant for 17 or 18 months to no avail . i had phased increase and been on 150 mg daily for about a year

im male aged 57 and gave up a highly stressed job and thought that was cause . WHAT IS SERTRALINE meant to do ?

I STILL have body dysmorphia and feel very anxious and overthink . OF COURSE when i was working i sort of managed my OcD WHICH was and is overwashing my face and ritual of self loathing of my complexion which from 17 and bad acne has won the day as now not going out and trapped in mirror all day . I SHOULD have addressed this state of mind years ago but it has really manifested itself since giving up work . i night add at the same time within the last 3 years i have married , my partner hasinherieted house outside LONDON AND I BOUGHT A FLAT IN LONDON AS AN INVESTMENT . looks and sounds great on paper and this is why i feel so bad going back to doctor , as that old saying "could be a lot worse off " so i feel terrible that i feel so empty . IVE never had many friends as because of my perception of a bad skin i could just about muster getting to and from work which in mornings spent over hour and half trying to calm down what no doubt was overstressed skin from overwashing . THIS self loathing of appearance has now made me a virtual recluse and though i have had 16 weeks of therapy even the therapist feels i need to be referred on for more long term treatment but has advised 1 year NhS WAIT . i ve been very honest with my physchologist but feel disappointed with this news . My anxiety has also heightened as my mum (whom i m very close too having lived at home till 54 has dementia) and she will not accept help and is denialand lives alone in a large house in LONDON and is getting more cognitively impaired . I might add i feel a sad loss already and know from previous job in social work there is worse to come . I m feeling torn between spending more time looking after her or with my partner of 3 years who is very supportive to me but spends most time at the house he has inherieted outside london that suits his work travelling times . i might add this house cant be sold as caudisil of bequest. I Am in limbo between two locations and can,t even think straight let alone feel better or cope with my anxiety and self hatred that my MH AND OCD/ body dysmorphia has heightened so much and controls my wakeing thoughts . I Wish it was just vanity

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