Hey fletch,
I agree with Homeostasis, I have also found a lot of help in B12 vitamins. Get some sublingual ones for maximum absorption. Also there are a few other alternative things you can do: Get exercise (not too much, but try for about 20 minutes a day- a brisk walk will do), Take vitamin D maybe 1000IU a day (this has shown to help depression big time and gives our brains often what we need when we receive natural sunlight --without the UV rays of course), make yourself do fun things and activities (take up a new hobby and get really excited about it), and keep posting here.
Also, I don't have experience being an inpatient in the hospital. Although, it would make sense that it would seem easier for you. The 'real world' is stressful. There are ways you can reduce the stress for yourself and give yourself a lot of the same care you would find in the hospital. Be gentle with yourself. Don't have high expectations of yourself, or any at all for that matter (expectations are dissapointments waiting to happen), surround yourself with supportive and positive people, if something is stressful (a situation, a job, a place, a person) get away from it.
Also, it is common for people to experience changes in sex drive on antidepressants. I would recommend to have your fiance read some literature on the type of meds you're taking so it's understood that it is just a side effect.
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