@maw258 , I think that it's a great idea to reach out to your physician(s) to get opinions on your concerns, but ultimately the decision will be up to you. I was not aware of the possible association between onset dementia and anti-depressants, and it's something that I will read up on for myself. My quality of life is so improved by taking medication that I'm also going to ask my psychiatrist about this next time I see her. As an aside, and really coming back to your original post, I also use Cognitive Behavioral Therapy to cope with my depression and anxiety symptoms that still occur, by directing my thoughts, realizing when I'm making mental leaps or errors, I find that it helps me a lot to cope with my problems. I also have my "safe" place of work, when I'm busy and my mind is not so prone to take me where I don't want to go, and I wish that it wasn't that way; leaving me to find some other coping skills to expand my experiences feeling happy.