A Psychiatrist should be able to over-see a patient with worries about AD medication by starting them on a low dose and seeing that person regularly.
Many years ago I was given too higher start-up dose by my GP, can't remember which AD; he then contacted a Psychatrist for advice and it was recommended that I be given a very low dose and raise up as far as necessary to combat depression. Years later I was given daily
Proprananol 80mg 4 three months and then it was lowered to 40mg which was fine for a few years: more recently due to background headaches I cut the dose in two, 1 morning and 1 at night. Add to that an emergency anti-anxiety drug when I am floored and most days I feel OK.
Now that I recognise the various 'oddities' I am able to regulate what I take. Up until I took the BB in the mid-1990s I would never have considered varying from anything
in case it made me feel worse. Medication too has improved over the years as has the medics awareness that not all size fits everyone.
It's the Trial and Error that is so wearysome at a time when we need to feel well. Also trying to get an appt. when we feel ill or need immediate advice about medication can be hard work.