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Among the newer medications, options range between SSRIs (selective serotonin reuptake inhibitors) such as Prozac, Paxil and Zoloft, to the people - Wellbutrin and Effexor, for example - that concentrate on different or combined neurotransmitters. My appetite has actually returned today, but out of habit, I am not eating much. These include feeling sad or "flat", the mysterious change in eating or sleeping, feelings of hopelessness, worthlessness or guilt, lack of interest in things you used to feel affection for, and quite often feelings of death or suicide. It is difficult because nicotine is a very addictive drug. This medication cured the anxiety attacks I was having, and lifted my spirits. While many people enjoy feeling good, dual diagnosis patients are often self medicating at the same time. Men may not manage to achieve a bigger harder erection, and ladies may not have the ability to achieve orgasm when these are on antidepressants. 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