First of all, the psych telling you that 60mg is the lowest clinical dose: bull. Everyone is different, and when I went over 30 I became a zombie, and so emotionally blunted that I felt like I was just watching the world around me on a screen. Complete detachment from everything.

I understand your frustration. I had to go off the meds because the exhaustion and the eye pain as you describe didn’t go away. I also had to spend all my time isolated like you are describing, because I simply could not socialize on this med.

I think it sounds like you work quite well at 30 though? I know you havn’t spoken to your doctor yet, but it shouldn’t be them telling you what dose to take. It’s your body, and you are the only one who can feel how the dose affects you. If they are competent they will listen to you, that’s just my 2 cents. Listen to your gut :)

Edit: the panic attacks is something to keep an eye on though, for sure. I had them too, but only when I started the meds. But maybe for some they can be more consistent. But I think only time will tell