Dear T,

I am really pushing through with these side effects I'm having tingling in my feet ever since you upped my doseage and my anxiety has been through the roof thank god I have Ativan yes my OCD is better but my anxiety is still worse. I know it might take 6 weeks for improvement and I'm going to push through but everytime I say something like it's not working you just increase it I feel hopeless sometimes. I almost feel like firing you but I can't because you the only pdoc I can see ugh...