Every one responds differently to medications. Prozac worked well for me for 32 years and then started causing my sodium levels plunge to dangerous levels. It has taken months of working with a very good psychiatrist to find something that works without affecting my sodium levels. Prozac had to be replaced by 3 medications to do the work Prozac did on its own. If your psychiatrist is not listening to you, find someone else to work with. Finding what works can be a long and frustrating process for you and your family and friends ; but, it is worth it in the end to find something that works with no or tolerable side effects. I wish you lots of luck and support on your journey to wellness!