Ordered a genesight test today because my psychiatrist doesn’t want to adjust my meds any more until I get this report

I made a post a few days ago talking about my current issues on the medications I’m on. I’ll summarize here as best as I can.

So I’m on buproprion Xl 300mg and Amitryptiline 25mg for ocd and anxiety. I’ve been on Wellbutrin for the past 6 years but have changed my dosage a few times to see what works best. I’ve been on Amitryptiline for almost 3 years.

I’ve tried tons of SSRIs in the past and I did not react well to them, same with other meds like Effexor that was the worst for me. I’ve reacted the best to tryciclic antidepressants, I was on clomipramine too but eventually thought it lost its effectiveness.

For a while 300mg of buproprion did the trick for me, and helped negate the side effects of my ocd medication (tryciclic antidepressant) but recently I’ve been so tired during the day. You know it’s bad when coffee doesn’t even wake me up anymore, it’s 9am and I had a coffee an hour ago and I’m still tired so by 12pm I usually have an energy drink. I thought maybe decreasing my ocd medication would help with how tired I am, two months ago I went down in dosage a bit after meeting with my psychiatrist (37.5mg to 25mg) but it didn’t do anything for me energy wise. I get 7-8 hours of sleep a night so I’m getting a healthy amount. I work a day job where I commute there and back, I don’t have an issue feeling like falling asleep at my desk or anything I just am always tired. I also am very active and workout 6x a week, I notice at the end of the day like 5pm I have some more energy than I do during the day so that’s when I go to the gym and get a good workout in. I guess the endorphins get me going. I also used to take for a bit adderall but it was more of a quick fix from my psychiatrist and I don’t think I want to go down that path again.

I’ve also had issues recently with my appetite/cravings being out of control and in the past year gained like 10 pounds (I’m a petite woman). Also I wanted to mention I do not binge eat at all, i just catch myself wanting to eat more snacks than usual. I probably eat about a few hundred more calories than I used to. The constant weight gain is really messing with my head as my OCD has transitioned to fixating on this. I’m obsessed with looking at my body and seeing if I’ve gotten less bloated, skinnier, bigger etc. it’s never been this bad in my life because I used to be 120 pounds for a few years and I’m 138 now. I’m very muscular because of my weightlifting but still feel puffy and overall just big, people say I look great but I don’t feel great. If my clothes fit better and I was a little lighter I know k would feel so much better an have a fear I’m going to keep on gaining weight. Since late 2023 I have not seen my weight drop.

My life is great, I have a great job family and boyfriend and the only thing I’ve been worrying about is my damn weight and being tired. It sucks. I’ve made some really amazing progress in 2024 too, I got a car after having severe driving anxiety and have been driving great.

I met with my psychiatrist today and we have already ruled out that my bloodwork is normal, I got bloodwork drawn in November of 2024. I have another appointment in about a month to get blood work again so that’s good.

My psychiatrist also wants me to do two other things, get a sleep study done to see if my quality of sleep is actually good. I told her it takes me sometimes 30 min to an hour to fall asleep but once I’m asleep I’m out for basically the whole night. Next she ordered a genesight test for me, she said she doesn’t want to change my medication until she sees the results to see what medications actually work for me. The test should come to me in a few days, I’m in network but should get an estimate tomorrow how much it actually is. At this point I’ve been contemplating getting it done for a long time so I don’t mind however much it is, if it will help me with my reactions to medications. So I should get my test in over the next few days and get the results probably next week so I’ll see what happens, I am not relying on this test 100% but I know it’s something that will be helpful. I have a follow up in a month with my psych but I’m hoping I can meet with her sooner to discuss the results and make some changes with my meds.

I hope this wasn’t too long. Does anyone have experience with this?