I started on 15mg mirtazapine for depressive symptoms (of complex ptsd) just over a week ago, and I've been so anxious, to the point where I'm almost constantly dissociated, and instead of 4-6 hours of restful sleep, I now get closer to 8 hours but I wake up anxious several times in the night. However, I have been more functional since starting (possibly because of the mirtazapine and possibly because of the structure of being back at uni). It's hard to know how much of this is because of the mirtazapine because I started taking it around the start of the new semester, but I'm pretty confident that it's made at least some contribution to the increased anxiety. I also had a mini breakdown yesterday because I'm still not functional enough to keep up with uni work, and the strength of my self harm urges and suicidal thoughts kind of scared me, even though I get them quite frequently.
I was prescribed 2 weeks of 15mg then 2 weeks of 30mg then 2 weeks 45mg. I understand 15mg is kind of a borderline dose between sleep aid and antidepressant effects, so I don't want to give up too soon, but I'm concerned increasing to 30mg is just going to make me more anxious.
Has anyone had issues on 15mg but found 30mg beneficial?