When i was a teenager i started to suffer with social anxiety and i had a lot of physical symptoms too like fatigue, insomnia,feeling really run down, sleeping for 12-14 hours when i did sleep etc. This went on for years, from around 13-18. At 18 years old i went on prozac and after a few months on that i felt absolutely amazing. I was so energized and all i wanted to do was party and live my life. I still had social anxiety but i was able to easily push passed the uncomfortable feelings of anxiety and do things i wanted to do. This lasted for about 8 months and because i was drinking alcohol that seemed to dull the affects of the antidepressant so i started feeling really crappy again for another few months so i'd stop drinking alcohol and the antidepressants would start working again and i'd feel on top of the world again and then the cycle continued. I'd go out drinking again over the course of a couple of months and then id feel bad for a couple of months so id stop drinking and id eventually feel better again. When i came off of prozac after 5 years of being on it i was consistently feeling crappy but not as crappy as when i would crash while i was on it but far from how good i felt when prozac was working for me. So anyways last christmas i went on sertraline and a similar pattern is happening now although i'm not really drinking now and its still happening. I recently went up from 50mg sertraline to 75mg and my body couldnt tolerate it so i went back down to 50mg and im feeling crappy again. Im seeing a psychiatrist but ive only had one visit with her so far. I called them up yesterday to explain things and the nurse at the clinic said he will talk with the psychiatrist. My next appointment is the first of july but im hoping they wil see me sooner or call me or something.