I assume that your pdoc has talked to you about this, and obviously you and your doc know best. But for what it’s worth, psych meds can have start-up effects for the first week or two that may go away. When I started on Lexapro, I felt shaky, nauseated, wired, and had trouble sleeping. It lasted less than two weeks, and after that I only felt positive results. I was glad that I stuck it out. Wishing you luck in finding something that will help.