30y F here, diagnosed with OCD and anxiety/depression and I used to take paroxetine for a long time (around 10 years to be precise). 20mg helped perfectly with my anxiety and intrusive thoughts but gave me few annoying side effects such as anorgasmia so i decided to switch to something else so my therapist prescribed me tianeptine.

I've been on tianeptine for around a month now and it seems to not work. I don't have OCD thoughts but I'm overall super irritable person when I'm on it. Every little thing irritates me and I feel mad and annoyed all the time. I take it 3 times a day and I also have prescribed Bromazepam for anxiety attacks which I used to not have at all when I was on paroxetine. I feel bad for my boyfriend whom I'm marrying during summer cause he really doesn't deserve that BS. Thank god for him being super supportive through all my mental health problems and issues.

I really don't know why my therapist didn't prescribe me another SSRI cause paxil helped PERFECTLY, except side-effect of anorgasmia. Do ALL of the SSRI's cause anorgasmia? She also told me that there is that SUPER expensive drug as alternative to tianeptine that would cost like 40 to 50 euros a month but she didn't mention the name.

I really don't know what to do.  Any advice and experiences welcome!