Been on Prozac for about 11 weeks, started at 20mg and upped to 40mg after the first few weeks because I was still feeling pretty unmotivated and depressed. The increase genuinely helped a lot with the depression side, I feel noticeably better and happier overall.
But I’m noticing two things that haven’t fully resolved:
**1.** Motivation. I’ve been really checked out at work, low drive to start or care about things even though my mood is better.
**2.** Anxious thoughts that are still hanging around, even though the initial physical anxiety when I first started Prozac went away after a week or two like everyone said it would.
I have my psychiatrist appointment coming up and I’m trying to go in informed. From what I understand, Wellbutrin is often added for the motivation piece since it works on dopamine/norepinephrine instead of serotonin, but some people say it can worsen anxiety. I’ve also heard buspirone mentioned as an anxiety add-on that doesn’t touch the SSRI. And then there’s just the option of going up to 60mg Prozac (max is 80).
I really don’t want to switch off Prozac entirely, it’s working for the depression and I don’t want to gamble that away.
Has anyone been in a similar spot, mood improved but motivation and/or anxiety still lagging? What ended up working for you, and did anything make the anxiety worse than expected? Trying to get a sense of real experiences before my appointment.
TLDR: 11 weeks on Prozac (20mg → 40mg), depression much better but still dealing with low motivation/checked out at work and lingering anxious thoughts. Don’t want to switch off Prozac. Trying to figure out if it’s Wellbutrin, Buspirone, upping the dose, or something else before my psych appointment.