Hello xaldin: You don't say, in your Thread, whether or not you like your job. If the work you do isn't something you particularly enjoy, that would certainly make it more difficult to get back to the level of productivity you used to be able to achieve. Perhaps you're experiencing some burnout; & your mental health struggles are creating a situation where you can't ramp up again. It probably is appropriate to be concerned since, depending on your employment situation, your employer may begin looking critically at your job performance. It sounds like you've tried allot of different things to get going again. Switching or changing medications can also be difficult. It can take some time to adjust to new med's or dosages. But, under the circumstances, it may be worth talking about with your prescribing physician. Anyway... I wish you the best in trying to find a solution to this difficult situation.