It sounds like you're somewhat better than you were six months ago but still depressed.

That's basically where I am, too. I have been trying to keep some notes about now vs. six months ago like what I'm able to do now (sleep regularly) and what I'd like to do but am not yet doing (exercise) and distressing things that I'm not doing now (thinking about SUI every day.)

I'm not to the point where I'd want to go to a concert. I have an occasional day where I would feel able to meet a friend, but I hesitate to make plans for this since I never know when it's going to be.

If you feel able, maybe keep some notes about what changes you've seen like the ones you've mentioned here and also what you'd like to see change. I had been using my individual therapist as someone to tell about these things and someone to not exactly hold me accountable, but someone else who knew what I had said I wanted to do.

Some pdocs use the guideline "increase the dose to the maximum or until the side effects become bothersome." I don't know if that's what your pdoc plans to do.

I think you should keep going to therapy if that option is available to you. I'm very pro-therapy, though.

Meds work slowly sometimes. Like I said, I've been at the same dosage since April, but it's like I can feel my brain still changing. It hasn't all been steady progress. I have some setbacks, but they are usually no longer than 2-3 days.

I am going to give you a link to something called the Eight Dimensions of Wellness. It's something I've been using as a guide to what improvements I'd like to see in my life. I look at it as a sort of 5-year plan, since I am nowhere near health in all these areas. I'm just improving some in the physical and emotional and environmental areas right now.

There are different versions of these eight dimensions around. I just noticed that I seemed to keep seeing lists of areas of life to strive for mental health in, and I chose this one to use.