Hi, I'm a high functioning very anxious person. I've had severe anxiety for over 15 years but over time learned to just push through and for long stretches I can be ok - the way I describe it, it's almost as if pretending I don't have anxiety makes me forget I have it and stops me experiencing it for months or even years at a time. I'm currently in bad patch of several months of severe anxiety, in addition to some depression coming from the frustration of being so anxious, and also a dead sex drive. I've slowly been getting crippled over the last few months, maybe year, and I didn't realise how bad it had gotten since it crept in.

I went to the doc about the dead sex drive and we had a longer chat about the anxiety. My testosterone came back fine and while I'm in my mid 30s now and maybe my drive might drop off a bit from my 20s, it's far worse than it should be for my age and testosterone. He's recommended me busperone as it has fewer side effect, particularly sexual. He joked "No wonder you don't feel like having sex, you have a ritual of 100 things that have to be perfect before you do it".

I took celexia/citalopram for a couple weeks when this all started (15 years ago) but I had severe side effects (hallucinations and extreme zombification). My general impression seems to be that it's less impactful than SSRIs but has nearly zero side effects. Maybe I could add in a low dose of an SSRI later. I'm also going to change therapist and maybe switch to CBT cause my current therapist is just me talking for an hour then him saying "Mediocre_sun, you worry a lot. Try not to think about it and worry so much".

I'm about to get my prescription and I was wondering if anyone had an experiences or recommendations they'd like to share?