Update: my pharmacist had the best idea yet and it seems to be working.
She split the Pristiq 50mg into 1/4's. For 2 days I took 3 ( one every 6 hours) plus the 'new' Celexa 10mg.
Today and for a few days I will take 1/4 at AM and 1/4 pm then Celexa is to increase to 20mg. Then I will reduce to 1/4 in the evening.

The pills do not split nice and neat, but so far close counts.

Omers: CSA stands for what you know it means, I am not open to writing yet until I get into therapy specific for my past.
Thanks for the heads up on meds as it seems I have a tendancy to push myself to breaking point- over and over again, this time I was lucky in Group therapy (GT) as I had a breakthrough but very close to breakdown, as Assertiveness was triggering flashbacks.
I was going to be persistant and go to level 2, but with direct hints from the team-( day program- hospital) I decided 'there is enough time and space for everything I need to do'.
I was in limbo for a week but then the Team, came through for me and is keeping me on with individual therapy until I can get into the better fitting organization. A few months wait at the earliest.
Big sigh! the team is creating in me the trust that now when I ask for help I will have received it, unlike the past experience. This is healing to the child image of myself in a way I did not expect.