I'm seeing my psychiatrist shortly and I know there's going to be changes to my meds.  My current combo isn't cutting it. 
We've tried doses all way up and then back down again trying to find a sweet spot but I think these just aren't for me. 

I've been avoiding this for a while because I have a terrible history with trying new medications. Probably shouldn't have put it off until winter though. I hate this game. Maybe this time we'll find something that works.

I'm trying not to panic.  My psychiatrist is really cautious and gives me really good explanations of what to expect and when to call... I couldn't ask for more,  but after a couple decades of shitty psychiatrists carelessly fucking up my life,  it's hard.