Jules, I really sympathise and I think Dotty's right - you need to be able to distinguish what's causing what. It's so frustrating though because everything takes so long. I've been on Fluoxetine 20mg for 6 weeks and I feel worse than ever, really really depressed. Just been to my GP who said increase it to 40mg for another 4 weeks, and then up to 60mg if it still isn't working. I don't know whether to follow her advice or come off it, it's definitely not had any good effect so far.