Should I raise my antidepressant dose if it stops helping?

[NicholasT]

I’ve been on the same antidepressant for about two years and it feels like it’s just stopped working. My doctor mentioned the possibility of a dosage adjustment, but I’m worried that just increasing it might not be the right answer. Has anyone else had their medication lose effectiveness over time like this?

[EllaB]

Yep, this happened to me too. After a couple of years on the same antidepressant I felt it stop helping. A small dose increase gave me a bounce for a few weeks, but then it faded again. Not dramatic, just a sense that relief was slipping away.

[ScottA]

I tried pairing a dose bump with therapy and a tighter routine—sleep on a schedule, daylight, a bit of exercise. The initial lift was real, but it wore off and I landed back where I started. We ended up trying a different med instead of chasing the same thing.

[Andrew_M]

Sometimes I think the problem isn’t the med at all. Stress, poor sleep, ongoing burnout, little things piling up. It felt like the meds were fighting the day-to-day grind and losing ground. Hard to tell what’s real.

[Adam.H]

Did your doctor talk about switching meds or augmenting rather than just cranking the dose?