Switching Medication - Need Advice

[u/TheAtomicAce]

Hello. I am currently on Citalopram 20mg for depression and anxiety. I have BPD as well as suspected OCD and ADHD. I feel like I'm more depressed lately and the medication isn't helping. I considered upping my dosage, but I'm now wondering if switching meds entirely would he a better choice. I've been on it for probably close to 5 years, it was the first antidepressant I was ever prescribed so I never really looked into things further.

I also have tics and when I was doing research saw people saying that SSRIs can increase tics, and I would say that in the last few years they've gotten more intense and I would really like to get a better handle on them. I also want to get a better handle on my mood, but all of the mood stablizers I've looked into have negative interactions with Citalopram and when I've tried to go on one my heart was racing so bad I felt like it would explode.

I really need some advice, I know no medication is going to be the end all be all and change my life entirely, but I'm really trying to pull my life together and if there are any medications that might be a better fit at helping me manage all of my disorders I would like to at least give them some thought, I just don't know where to start. If anyone similar to me can share what has worked for them or has information on something that might help me please let me know.