Hello I hope things get better for you soon. If you PM Docjohn or Psisci who can usually be reached in the drug forum they can probably both tell you what they recommend and then maybe your Dr will change or adjust your medication. You really need to be HONEST with your therapist and Dr to let them know that the medicaiton is not working. I htink many times patients think their Drs know the medication is working because no one tells them any differently. There is nothing wrong in telling your Dr the truth that you are not thriving and feeling well taking the medication, in fact the Dr needs to know how you are doing on the medicaiton because Drs are usually morre than willing to help in these circumstances, to help you maintain your mental health. You have no reason for your concern the Dr is one of the most important people in your mental health treatment and is aware that there are medications that need adjusting and changed from time to time, and expects this as well from time to time, from patients. I hope the best for you Take care Soidhonia