You are making progress on your current medications, but some lingering symptoms like reduced confidence and satisfaction might need review.

🩺 Current Medication Assessment

• After nine months on Sertraline (Daxid 100) and Mirtazapine (Mirtaz 7.5 mg), it is common to still notice some residual symptoms.
• Medication adjustment or change is usually considered if there is insufficient symptom relief or side effects that interfere with life.
• Any changes should be carefully planned and supervised by your psychiatrist to avoid withdrawal or relapse.

🩺 Symptoms of Secondary Depression

• Key features include persistent low mood, reduced pleasure or satisfaction in activities, lack of confidence, feelings of worthlessness, and sometimes anxiety.
• Secondary depression can occur after medical illness or another mental health condition and may respond differently to treatment.
• Improvement is often gradual, and some symptoms may take longer to resolve fully.

🩺 Next Steps

• Discuss your current symptoms openly with your psychiatrist or prescribing doctor to evaluate if medication adjustments or added therapies are appropriate.
• Do not stop or change medication without medical advice, as this can worsen symptoms or cause withdrawal effects.
• Consider additional support like counseling, lifestyle strategies, or re-evaluation of diagnosis if symptoms persist.

Seeing your psychiatrist is recommended to tailor treatment to your current needs and optimize your recovery.