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Hi David,
I too am on Remeron (Mirtazapine), but sometimes, when we have a chemical imbalance, we may need an additional medication to help. I myself am on a cocktail of medications. I suffer from Panic attacks, severe anxiety, so I am on meds for that. I have difficulty due to personality disorder managing my emotions, so I am on Topamax. I had severe trauma, so I am on Busphar to help me manage that. However, medication alone while a Godsend, is not a cure-all, I believe therapy, and medication are the best at alleviating negative thoughts, procrastination, self esteem, hostility, resentment, anger. When I got on these medications for the above issues, the medications, made me want to get out of bed every morning to get the therapy I needed.
I then read the book “What Color is your Parachute” a book that will help you find a job that you will be hopeful and excited about. It will ask questions, and give you career choices based on your responses. I am also in 2 12step programs which have been very helpful. I also have a job and life coach. I hope you feel better soon. The best way to feel better, is to write down things you like to do, and what you like about yourself, and things you are grateful for. Keep us posted.