Should I Increase My Celexa Again

A few weeks ago I asked for advice about grogginess with Celexa and Trazadone.  I dropped the Trazadone and am sleeping fairly well.  I still was drowsy so dropped my Celexa to 20 mg.

For three weeks I felt pretty good - but still drowsy.  I was just starting to contemplate dropping the Celexa to 15 mg when I started having some weird feelings.  I wake up happy but anxious.  The anxiety turns into a urge to cry which turns into grogginess and fatigue.  These feelings come and go during the day and are making me worry even more.  Of course now I am scared that the depression I worked so hard to beat is back.  My counselor is not sure yet that this is depression and doesn't think I should increase my Celexa.  But I am scared that I am going to crash.  Plus I really am not too happy about the way I am feeling right now.

What do you think I should do at this point??
Am I still depressed and need more of the Celexa?
Have I created an anxiety disorder and need more Celexa?
Should I ignore these feelings and continue to drop the Celexa dosage to see if the grogginess goes away?

[Roger Gould, M.D.]

I really can't advise you in the detail you need because its not right to try to practice medicine without all the necessary information.  You should be consulting a physicians about change in dosage.  

I can offer you some suggestions that might help.  I wouldn't think of the grogginess as a Celexa effect at this point so there is no good reason to reduce the Celexa( assuming there are no other side effects). You might think of staying at this same dose, or increasing it at some time in the future.

I would think that the groggriness is an effect of your trying to avoid crying.  It would be much better to cry and let it run its course...you will feel much better after. You seem so afraid that crying means you have a depression again...it doesn't have to meant that.  Talk to your counselor about this.