Hello & Welcome, Andy90!
Sertraline is an antidepressant medication also used for anxiety and other disorders. Although it may take weeks to start feeling better on antidepressants, it's advisable to report the fact you are feeling worse to your prescribing doctor. These types of medication can be highly individual in their effects and side-effects.
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Originally Posted by Andy90
I am afraid of telling the job centre or my doctor that I feel like this as I worry that they'll think I'm lying.
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Your doctor has already prescribed you an antidepressant. I don't know what he is thinking, but he apparently saw a use for sertraline based on your words and behaviour.
Depending on the people at the job centre, they may be able to work with you if they know you have specific challenges, such as chronic pain and "situation-specific anxiety issues". Please, exploit these forums to experiment with different ways of explaining your struggles and experience. Gobbledygook is welcome here! Shape it and reshape it until it suits you.
Congratulations on the birth of your second son!
__________________
My dog
mastered the "fetch" command. He would communicate he wanted something, and I would fetch it.