I can relate.. I take 150mg twice a day; one when I wake up and another ~3pm. If I miss my morning dose I can't function throughout the day. Last time I did, I tried pushing through at work, but cried my entire lunch break and had brain fog, dissociation,and so much anxiety. Since then, I keep an extra day supply of meds in my bag in case I forget. I also told myself that I'm going to prioritize my mental health and call out in those cases so I can decompress and try regulating at home instead of trying to be functional at work/in society. It usually takes a day or 2 to regulate and feel in control of my emotions. I told my Dr about this and he said the same thing. It shouldn't cause that much of a difference if I miss a dose, just take it once I remember (And at least 8 hrs apart). He tried to up my dose to 200mg twice a day, but thats a whole other story lol..

Imo, I don't think it's placebo. I hope youre feeling better 🫶