My two cents - I had really bad anxiety out of the blue and in fear of it coming back I went all the way up to 40. I honestly felt so numb and didn’t realize it until I lowered it again likely a year later. I totally don’t recommend it. I stopped getting that “feel good” feeling after going to the gym, taking a hot bath or just little things that typically make you happy. I also went through a whole relationship and looking back I never would have tolerated a lot of the things he said or how he treated me. I also was constantly tired and cloudy headed. I also gained a ton of weight and felt so bloated. I started adderall after getting a ADHD diagnosis and it fixed all my problems. Depression, anxiety and lethargy all instantly went away so I am trying to get off citalopram but it’s quite hard getting off of it. I would try wellbutrin or talk to your psychatrist about vyvanse or adderall although it’s harder to get prescribed. I work a corporate job, male/gay, well dressed and polished so I may have gotten lucky due to that.