ADs take time to start showing an improvement, this is normally anywhere between 4-8 weeks. And in that time, symptoms can seem worse. That is also the case for dose changes. So it may be you need to be patient (and look after yourself) for the next few weeks. However, it's vital you get medical help if the symptoms get too much to cope with or you are endangering yourself.

Mirtazapine are a strong sedative and are often used to help with sleep problems. You should be taking them at night. Of course,if it's too much to cope with then speak to your dr.

I've added a trigger warning to your thread. It's nothing to worry about but is just a precaution to ensure members can avoid any subjects that may be triggering for them