I think it is worth trying an SSRI again. I don't know anything about them being better for BDD. Is that what the clinical data is suggesting?

To bad the mirtazapine was so sedating for you. I take it at night and only get 4 good hours of sleep out of it.

I am afraid that is the route we all have to take. Start a med, wait six weeks to see if it will work and if we get over the side effects.....if not next......thats just how it is. With me pdocs have always started the new one right away and pretty quickly tapered me off the old. I know the UK doesn't do it that way.

The thing is even with the SSRI's each one can be so different and each one of us can be so different.

There is also the SSNRI's and Wellbutrin. Thats about it.

SSNRI's
Effexor
Pristiq
Fetzima
a few others that are not very popular.

I am currently having very good results with Fetzima. Very activating for me. The SSNRI's are supposed to be activating but Effexor and Pristiq were not and yet Fetzima is......its a crap shoot.