call up your doctor and discuss your symptoms.
he can make you feel better for sure
dont think all by yourself and conclude anything
please talk to your doctor and get help
You might want to see your doctor to either up your dosage...40 is normal, or to come off it completely because an adverse mental reaction may mean you are bipolar instead of unipolar. Talk to your doc immediately! My mother had the same problem.
if you are having thoughts of harming yourself or others, call your doctor IMMEDIATELY. this is a side effect of some medications. please call your doctor asap;.