Just back from the docs. I was able to tell the doctor honestly as I had a small meltdown in the room. He thinks that I am under medicated for the severity of where I am. I have been on 45mg of Mirtazapine for about 5 months. He has said he will speak to the psychiatrist to see what medication I should be on but suggested fluoxetine. He has also referred me to the local psyc team for support. Being NHS I am not sure of what timescales we are talking about, but I feel a little better than before I went in. I had reached a point where I felt completely hopeless.