I think I’m desensitised to my meds

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I think my brain is adjusting to my antidepressant dosage and I’m scared. I’m already on 40mg of fluoxetine and the maximum dose is 60! My intrusive thoughts are coming back, and my violent obsessions. I keep thinking about harming myself gruesomely. It’s not helping that I’m trying really hard to stop binge eating. Without food as a crutch I feel like I’m drowning, and that is with me messing up multiple times. I ate a giant cheesecake yesterday for goodness sake! I don’t want to go back to how I was before. My brain is hell unmedicated.

Edit: I’m starting a new job at a mental health facility on Thursday and maybe that is causing this spike in anxiety.The application took abt a month to complete and was stressful so maybe that is causing it. Either way, I still feel dead without food as a crutch :/

If you are struggling again it is time to get a meds update/adjustment. I have a family member who is getting very good at recognizing when they begin to struggle again and to reach out for help. If you need another med to take along with what you are using, so be it. There are so many options and alternatives and you are in charge of what is right for you. If its not working, ask your prescribing doctor about alternatives. If you get unwanted side effects, speak out about it and ask for a change. A good doctor will work with you to help you make your life the best it can be. Family member struggled with meds adjustment for several years before they found the right combo . They still get adjustments when needed, close work with a knowledgeable doctor will help you find that "sweet spot" where things are right and working their best for you. Cheering you on.

Yep....a classic case of needing an adjustment.

It's inevitable that people become "desensitized" to anything which they take on a regular basis.

I echo the above advice. It is really common to need to adjust meds, even change meds, in order to find what works for you.

Have you told your doctor about the binge eating? Welbutrin used to be the antidepressant prescribed when people also wanted to overeat. That may have changed. I haven't been working in the field for some time now.

Prozac is usually one of the first of two antidepressants tried. The other is Zoloft. But neither works for some people. Just keep trying. Like Dory, Just Keep Swimming, Swimming, Swimming.

I think Prozac is the American or brand name for fluoxetine which is what I’m on. I’m on it because I was terrified of gaining weight after my experience with sodium valproate (which is what really ramped up my unhealthy obsession with food). I need to make an appointment with my GP for a medicine review and I’ll see what they say because to get honest, I’m so much better than before. I rarely cry as opposed to doing so multiple times a day and I think I might just be more on edge because of me starting a new job which will have me socialising all day. I think I got used to things being very cushy over my gap year because to be honest this is still better than when I was medicated and at college. Hopefully I was just being dramatic but we will see what they say :’) also have not experienced hypomania like I did at the lower dosage so that is good.