Anxiety, depression, and sleep problems often need long-term management, and it is common for symptoms to return if medicines are stopped suddenly. These medicines should only be reduced gradually under a doctor's guidance. The best approach is a combination of treatment methods, including regular follow-ups with a psychiatrist, counseling or therapy, good sleep habits, regular exercise, stress-management techniques such as meditation or breathing exercises, and maintaining a healthy routine. With proper medical guidance and lifestyle changes, many people are able to control symptoms well.

Severe gas, headaches, and high blood pressure (around 150/97) can sometimes be linked to stress, anxiety, or depression, but they may also have physical causes such as acidity, diet issues, or uncontrolled BP. If you have only had about 20% improvement after 9 months of treatment, it would be a good idea to review your treatment plan with your doctor or seek a second opinion. Medicines for depression should not be stopped suddenly, as this can worsen symptoms. Along with medication, lifestyle changes such as regular exercise, good sleep, stress-management techniques (like meditation or breathing exercises), and avoiding very spicy or gas-forming foods can help. A gastroenterologist or psychiatrist may help adjust your treatment so you get better relief and gradually reduce dependence on medicines under medical guidance.

If you have been taking antidepressant medicines for a long time, symptoms like low mood, reduced sexual desire, and lack of energy can sometimes occur as side effects of the medication or due to the underlying depression itself. It may also happen if the current medicine or dose is no longer the most suitable for you. Do not stop the medicine suddenly, as this can worsen symptoms. It is best to consult your doctor or psychiatrist, who may adjust the dose, change the medication, or suggest counseling or lifestyle measures such as regular exercise, good sleep, and stress management to help improve your mood and energy levels.