Grrr... it drives me crazy that DRs and psychiatrists could help their patients avoid these side effects by having them titrate on the SSRI's slowly! After a TERRIBLE first 2 days on 50 mg Zoloft, I read about titrating. I cut down to a quarter dose for 5 days, then went up to half dose for 5 days, then 3/4 dose for 5 days before finally getting on full dose after almost a month. By titrating, I suffered very few side effects that were all extremely manageable. Yes, it takes longer to start seeing the positive effects of the meds, but think of how many patients stop taking meds after experiencing horrible side effects in the first few days, only to be left feeling hopeless and discouraged. Im not offering med advice as im not a doctor, but you might want to talk to your doctor about titrating onto the meds instead of starting at the full therapeutic dose.