Trouble finding psychatrist- dealing with primary care. she has me on nortriptyline for anxiety/sleep started at 10mg, felt great- my body adjusted , my panic and insomnia came back, did 20mg, same thing. its been 5 weeks, do i go up in dose?

I'm sorry you are dealing with this but seeking care on a forum with a 400 character limit is not ideal. Please pursue a telemedicine visit with HealthTap or another company if you are unable to find a doctor locally.

Would advise you NOT to treat yourself and adjust dosing with nortryptyline on your own, a drug that can have intense anticholinergic adverse effects. Would be assertive and request a referral to a psychiatrist. Emotional issues often do best with an array of interventions, and typically, medications are best used initially for brief periods if possible.