SingDanceRunLife, I agree it would be good to consult with a pdoc instead of a GP. GPs just do not have the expertise for much beyond the most basic of psych prescribing (and most will be the first to tell you that). Pdocs tend to be more creative prescribers, due to their experience, whereas GPs tend to follow the most conservative path in the prescription algorithms. Perhaps it is time to look beyond the SSRIs? A pdoc is the person for that. Good luck.

Your prescriber is supposed to help you decide that. He/she should ask you assessment questions about your symptoms and compare your answers to before you began the med. He/she should ask you to explain what you mean by not thinking things are right. He/she should listen.... What have your GP's assessments shown?