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I am a 51-year-old woman and have suffered with anxiety, depression and insomnia for much of my life. I have been on 15 mgs of Mirtazapine and 20 mgs of Citalopram for a couple of years - can't remember exactly how long. Had Mirtazapine upped to 30 mgs nine days ago as I was getting depressed and anxious again. Since then have got no more than three hours of sleep a night; anxiety and depression very bad; emotions all over the place; can't go to work. Have another doc appt tomorrow. I'm wondering whether to give the 30 mgs more time, or to drop back down to 15 mgs - don't feel I can go on like this. Any feedback from anyone would be great. Thanks a lot.
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