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I had a similar experience. The sertraline helped with anxiety/depression but did lower libido. Finding alternative strategies for the anxious or depressive moments and weaning off the sertraline helped in the long-run. I think using a counselor to dive more into understanding why you feel anxious or depressed in that moment could be helpful to finding a strategy without medication (or at least as much) if they’re having unwanted effects.
For instance, I had pretty bad anxiety when I people whispering. It made me think they were talking badly about me and I felt bad about myself. I eventually realized with a counselor that had low self confidence and reminded myself of the mantras that helped me through that specific moment. “They probably have a million other things to talk about other than you. What they’re saying is not meant for your ears. And even if they are, they’re opinion has no bearing on your worth as a person.”