I'm on prozac (fluoxetine) 20 mg. i still feel depressed a whole week before my period & heart races. do i need to switch to birth control? or up meds to 30 or 40?

Cbt with meds: For "depressed" episodes make sure therapy strategies are an integral part of your care and wellness plan. Think of increased "doses" of self care strategies in particular when you have discerned patterns or rhythms in your life when you need to gird your posituve mood. Meds can also be considered with your meds prescriber. Hope this may be of use