So I was diagnosed with PMDD 15 years ago. Started off with birth control and prozac (on and off). I would either come off of the prozac because I felt I didn’t need it anymore, or would stop because it didn’t feel like it was working anymore. But mainly it was to help with anxiety and depression. Over time with new therapists and psychiatrists, the PMDD aspect got lost and we just focused on these issues. But nothing seems to work long term for me. Specifically in this last year or so, I’ve been really trying to get on the right meds to feel my best, but I just don’t ever feel at my best? I figured maybe I wasn’t medicating correctly because maybe I was bipolar or something, rather than just having anxiety/depression. So now I’m on meds for that but still feel like shit most days.

I’ve been taking a strong sleeping pill for quite a few months, and my psychiatrist suggested trying to taper down and eventually come off before becoming dependent…butttt I still can’t get back to sleeping at night. I’ve tried a few times but went back to taking the meds because I was going crazy. I’m currently writing this after a night of zero sleep after taking my less strong sleeping pill.

Idk if my expectations are too high, and that’s why I feel like nothing truly works after a little while? Idk what it is honestly. But I’m tired of feeling like nothing works anymore and I don’t know what to do at this point. I don’t even like telling my psychiatrist how I feel anymore because it’s like, how many times are we gonna change meds? I truly feel like I’m going crazy ALL. THE. TIME.

Any advice?