I'm a 30 year old guy suffering from terrible depression certainly approaching, if not already, moderate-severe. I experience derealisation to varying degrees everyday. I am exhausted all the time, anxious, shy, lack any motivation and am pretty house bound (and have been for two months now after symptoms have intensified.)
I have resisted medication for so long, other than a short trial with Agomelatine. I was on it for four weeks and found it didn't do a great deal other than mute orgasm (something it's not supposed to do.)
My doctor is suggesting SSRIs. I am TERRIFIED of weight gain. I am very conscious of my body and work out with weights most days to keep in shape. It is an obsession, one which I hope will reduce to a hobby following treatment, but I know me and if I put on weight I will be even more unhappy than I am now, which is a scary thought.
Of course I am also concerned about sexual side effects during treatment and the notion of 'post SSRI sexual dysfunction' worries me even more.
Escitalopram, Sertraline and Fluoxetine are the three medications suggested. Researching all of these drugs online is quite alarming, with suggestions of affects on Testoterone, gynecomastia etc.
Which should I choose in your opinion, taking into account my concerns? And are those concerns irrational fears blown out of proportion by my anxiety and internet propaganda?
Thanks so much for any help and apologies for the slightly hurried and anxious message. I have searched for information on this forum before posting this message but thought some advice specific to my condition would be unbelievably helpful. I'm in a pretty distressed state.