So I'm about 10.5 months off of Cymbalta, which I took for 5 years. I started Cymbalta for anxiety, panic attacks, and dissociation, and it definitely helped me function. Unfortunately side effects became intolerable about a year ago and it also wasn't working all that well anymore. I was hoping that by taking a holistic approach to my mental health (therapy, meditation, supplements, diet, etc.) I would be able to become functional without meds but the anxiety is still pretty debilitating and I'm struggling with frequent bouts of extreme depression. I'm under a huge amount of stress and that probably won't change for at least a few months. I think its time for me to try and reduce some of the suffering and try other meds, but my psychiatrist thinks I should just pick one out of a hat and see if it works.
My question is whether SSRI's are a decent place to start and which offer the best chance of success. Any insight is appreciated.