Reducing the dosage is entirely dependent on your doctor and your symptoms. This is a good medicine that can be used for a long time. But if you want to come off of medication, you need to combine medication with therapy. The fact that you want to go off of the medication is your drive to work really hard to come off of it. Here is what you need to do: combine medication with therapy to learn some coping skills and develop tools to face the day-to-day challenges with confidence. Then if you go episode-free for three years under the combination of medicine and therapy, you could initiate weaning you off of the medication gradually and under strict monitoring of the psychiatrist
. I know that this may sound discouraging but if you had contacted me many years ago I would have told you at that time to combine the two therapies. But it is never too late, and now you have a clear agenda and time plan to resolve the depression
. In the meantime please do the following: when you are depressed, you will feel lazy though I would like to call it lethargy. There is an inertia and lack of energy to even think, let alone act. You are required to literally do the opposite of what you feel like doing. Depression makes you want to withdraw, lie down, sleep, become lethargic, slow down, make you too lazy to even think etc. So when I suggested doing the opposite, you will need to fight this disease. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, eat more of proteins and vegetables, attend yoga
classes etc. Watch sitcoms on tv or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least 30 minutes but not in the scotching heat. I hope you can find someone to love and be loved too. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three things, lots of things will go well in life. Please pray and have faith in god to alleviate your sufferings. Don’t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. You have youth on your side.