Based on what I've heard about Emsam, it's a good medicine and it has good efficacy for the kinds of things you describe. It's in an older class of medications that doctors don't use as much anymore because there are newer medications I guess. But I was almost prescribed Emsam. I would have gone on it, but my combination of Effexor XR and Remeron finally started working for me before I had to go on Emsam. I wish you the best with the Emsam.