... Psych recommended adding mirtazapine and have spent the last 4 years trialing different dose combinations. I have stabilized somewhat on 200 sertraline and 15mg mirtazapine . However, I feel too high but still if I drop down to 175mg or 150mg I feel too low. Psych and GP don’t offer any advice and just agree with every dose suggestion I try. I feel like I’m never going to feel normal again. 4 years of battling this is taking its toll. I’m holding down a job but my life is such a battle to make it through the week. Any suggestions?