I've been there- too often to count: is it mixed episode or anxiety and depression? My psychiatrist has also wondered the same thing. If you are only on latuda maybe you need something else. SerQuel helped me, maybe a neuroleptic would help. I am not a doctor though. It sounds like even if this is a start of something mixes you are getting prettty anxious about not knowing. I've been with that too. And it could be both. I don't really have better answers for you- I would try again to get in touch with your prescribing doctor/nurse. Better to be in the safe side. What's the worst? She thinks it isn't anything to warrent a change? Well that may be discouraging in the short run but then hopefully when you see her next you can have a more thorough discussion. I wish you the best and hope things get easier for you.