When do you know if citalopram just isn't working?

I am in that panicked state of ruminating about whether citalopram just isn't working for me or whether I haven't given it enough time.

I finished week 12 - 1 week on 10mg, 7 weeks on 20mg, 4 weeks at 30 mgs. I have experienced almost every side effect possible but they seem to be slowly lessoning.

The thing is, I just don't feel better. I have some moments yes, like an afternoon, where I feel a bit more motivated and hopefull. But then I go to sleep and wake up with the crushing anxiety and am dazed and depressed until the evening.

I am on a medical leave from my job and my next follow up is april 20 where we will evaluate the meds and whether I am able to return to work. I totally do not feel ready to return to my uber stressful job as a social worker (dealing with other people's problems when you are drowning in your own is tough!!!) but I feel internal pressure to have this sorted out and fixed. Do I continue with the cit or do I jump ship?

Also what I am ruminating about is that when I was 18 I was put on Celexa and Wellbutrin but I ended up being switched to Effexor because I didn't seem to be getting much from the Celexa but from what I recall, I really didn't try the Celexa for that long. The Effexor helped but I experienced horrible brain zaps/electrical shocks in my brain. So I am wondering if citalopram just doesn't work for me?

How do you know if the citalopram just isn't working or if you just haven't given it enough time?

Thanks for listening to my little spazz out

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