Hunni, the increased mirtazapine will take 4-6 weeks to really impact. I don’t know how many ADs you’ve tried but there are a lot of options with meds and sometimes a GP can’t give you all the options that a specialist could. Also, counselling takes time and can get worse before it gets better. What im trying to say is that there are plenty of ways forward with your treatment - it’s just going to take some time