I saw a psychiatric physician's assistant today and he changed/added 3 meds after consulting with my psychiatrist. I am extremely anxious and depression is quickly falling over me. Yesterday I thought "I can always kill myself if it gets too badI ". (I am NOT actively suicidal) The thoughts are both reassuring and scary. Today more of the same along with thinking about self harm that I haven't done in almost 2 years. All these thoughts keep coming up. There is a reason why I started to become anxious but now it is like a ball rolling downhill as my thoughts circle and race through my head. I don't know what to do because there is nothing I can do to change the situation.

BTW, lamotrigine was increased from 200mg to 300mg, propranolol was added to address my akathisia which has increased with the anxiety, and trazodone was added to help me sleep. Nothing to deal with the anxiety. I don't know why. I guess my current problems with sleep were seen as most important to deal with.