I'm not really pushing Mirtazapine, i am pushing the fact you got to give something a solid go and then move on. 5 months? i'd be ready to change.
Also sometimes you or maybe all the time, you have to be keeping your end up of the bargain with treatment for instance at the start Mirtazapine did not help the first time, i was in an anxiety loop, i had to quit that first, Mirtazapine when i first tried it just made that loop bigger, then when I worked on that myself, second time it was different. I hope you get what I mean, like you got work on the things you can along side the medication.
Just to word that a bit better, say if you are making yourself anxious all day thinking of thoughts like about the universe and you aren't gonna give that up as you take comfort or are stuck thinking that way, medication can help but you got to lower it to give it a chance? But 5 months.. yeah i'd move on.
My tips end up sounding like the thread 'Holy Grail DP' so i suggest you just read it to be honest, it's well written.
Tired of being sick? yeah think everyone in the world who has anything from a cold to anything is tired of it after a while, i find once my mood is boosted, it matters less..
Can't focus on anything? the more stressed you are, the more you dissociate and with focus it seems to me or in my experience the more you force it, the harder it becomes.
Patience is the best thing you can have, a bit like Acceptance, knowing that this isn't gonna go tomorrow, but won't be like this forever, so you need to give yourself more time, be gentle and know when you need a break, if that's possible. Sometimes I've found, you got to learn to say 'No'... for me that was going out with friends, sometimes it was better to read my body, know what I was able to do, i don't mean sit in the house all day but listen to when you need a rest.
Do you not have a doctor who is kinda in charge? thing is, you need to really understand this if you are sourcing medication, Lamotrigine and Keppra for instances are Anti convolution medications, not to be started without a doctors advice..I know I sure can't just pick what I want to be on, but that's maybe because of the system here..
Medications that have been used for recovery:
Combo that I like:
Some others that are around the top of my list (some tried)
*Lamotrigine + Tricyclic Anti Depressant (Clomipramine) - Kings College use this sometimes, couldn't tolerate it myself, but seems a go to of theirs.
Seroquel (quetiapine) + Anti D
Ritalin (Stimulant, which you mentioned but can make anxiety worse, it's quick to act, it's a 1/2 week type thing from people I know to figure if it's gonna be for them)
*Keppra - Like lamotrigine anti convolution med, read some success
Venlafaxine) - AD - Very Popular AD here
Wellbutrin - AD - Different style of AD
Modafinil - Hit and miss, but what isn't, some it stimulates, some it relaxes