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Hello;   My name is Jean and I have been a clinical social worker for more than 10 years, providing therapy primarily for persons expereincing debilitating mental illnesses of many types.   They symptoms of fatigue, and sweating, are sometimes side effects of an antidepressant medication.  Concentration decrease, is not typically.    Here are some things you can think through and discuss with your Doctor, as they are your your specialist in this case and no advise from a lay person should be above theirs.    Due to ongoing concentration difficulties.....ask you doctor if you need to have your medication increased a bit more to help concentration or is another medication possibly better for you ?   Most of my clients have debilitating types of mental illness with complicating factors, not the least of which is Depression.  What I notice in your complicating factors includes single parenthood, divorce, and bullemia.   Please be honest with your Doctor about your bullemia, if you have not yet.  This will enable the Doctor to determine the need for possible lab work to determine whether nutritional needs are being met in your body.  If nutrition has declined, then electrolytes get thrown off and other important body functions are typically effected as well...not the least of which is that depression is likely to increase.     Conecting with a good clinician and working through the reasons behind your bullemia (often issues of not having control in life at some time in the past or present/victimization , ect. can be the source) can be integral to effectively reducing emotional pain & achieving a positive sense of self .  If you get to the reason and work openly with a knowledgable and supportive therapist you may be able to kick the Bullemia and then your Depression may be more easily treatable.  Taking medication without having therapy is not as often likely to work.  The two in tandem can have you feeling better much faster!   Best wishes for you.    Jean
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