Random spur of depression? have been taking celexa (citalopram) 20 mg for over a year, so why would it seem to stop working? i have been doing great! now this??

Dosage: You might be able to find a specific precipitant for your worsening of depression. But you should know that 20 mg of Celexa (citalopram) is a very low dose, much too low to work, for many.

See MD: There are many reasons for a 'random' episode of depression when you've been stable on Celexa (citalopram) 20 mg for > a year: recent life stress, health changes, other meds added (prescribed or OTC) interacting with Celexa (citalopram), inner issues you may not recognize, eg, anniversary reactions, past traumas being triggered. See your prescribing MD to discuss and consider a therapy consult. Hope this helps.

Therapy?: Have you yet tried any form of psychotherapy? Typically, the optimal combination of things to treat emotional issues such as depression is medication (which, on your best day, is supposed to take the edge off symptoms) but the real gruntwork takes place in psychotherapist's consulting room.

Have a physical exam by a Dr. to know if you have a physical illness. If you are cleared consult with a Clinical Psychologist with expertise in multiple types of psychotherapy to help you & a Psychiatrist for medication. If you are not confident with your Doctor please see another for a second opinion.