Weird dreams, depression and no energy

hi, i would suggest giving sertraline at 50mg a little longer, at least another few weeks to a month, to see if your side effects (eg. sexual side effects) get any better (i had the delayed climax also, but it slowly got better until it completely passed after about 7-8 weeks)

over-dreaming is really annoying isn't it.  i've had my fair share of that myself.  what happens is, ssri antidepressants are known to push the REM stage of dreaming closer to when you wake up.  the problem with that is, it means you tend to remember your dreams.  (everyone dreams at night, but it usually happens early on in your sleep, so by the time you wake up, the dreams are not fresh in your mind anymore so u dont remember them)

with sertraline i did have that over-dreaming thing going on at first, but after a couple of months it settled down, so there's a good chance yours will settle down also, so give it a little more time.  one thing which helps is, dont sleep too much.  i know it's easy for me to say, but dont sleep in, because it gets to the point where you will just keep dreaming loads; too much REM sleep (it would happen to me if i slept in.  i would just end up in REM dreaming sleep all morning).  too much dreaming is bad because, what happens is your brain is firing away..active.. working away..., and it actually ends up exhausted, so u can end up waking up and not feeling like you've had any sleep.   so the best thing to do, at least for now as you give the sertraline more time for you to get used to it, is just dont let yourself have too much sleep (6-8 hours and that's it.  you can always have a little nap in the day if u really need it).

and the other thing,  anger.. that's not uncommon for people to get that.

the reason is, ssri meds work on serotonin.. and serotonin is responsible for: anger, aggression, body temperature, mood, sleep, sex, appetite, and metabolism.  so as your serotonin balance changes, you get people experiencing some of the above related side effects, which could go off in either direction (eg. people might lose weight, or gain it.  lose appetite, or gain more appetite.. feel more angry than usual, or feel more passive, etc)

the good news is, if you give the meds time (can take 8-12 weeks), all this stuff should settle down and and balance out, and u will feel more 'stable'.it's a slow process ok.  so just try and go with it if you can.  for what it's worth, i have the increased agression a bit myself.  i have to say though, i actually like it, because i like to feel a bit stronger and bit more 'thicker skinned' about life, which is a good way to be, because then when bad stuff happens, you can deal with it better instead of just falling to pieces.   (don;t worry your agression, anger and dreams will settle down so just give it a bit more time ok)