I just checked with my doctor and he said wait how you feel by Friday (the day he told me to begin taking 10mg) before deciding to move up in dosage. If not, wait longer. I know the extra anxiety and depression is normal when you first start up but this is debilitating. I can't go over 5 seconds without that dreaded doom feeling. The thing that's been bothering me to make decide to go back on my AD is within a few months I've been experiencing derealization. I've been very foggy brained, I can't concentrate nor hold a normal coversation. I know it's caused from anxiety but despite trying to exercise and change eating habits this feeing has remained making me feel like a stranger to myself. I know it's hard to understand, but I can't seem to be myself anymore. I'm afraid I'll be like this forever, I just want to be me again