Citalopram Dosage Problem Please Help

Hi I have been taking citalopram for about 6 months now but thing still don't seem right so please could someone give me some help as my doctor is not good at all.
I have had anxiety and panic attacks for about 17 years maybe more anyway I have always just got on with it up till last year December when I had a problem with my Throat so then my mind went thinking of everything you can think of wrong with me as most anxiety people do but this went on for about a week until the Saturday my panic attacks were just one after another I thought I was going mad so the Monday I was prescribed citalopram gr8.
I got told to start on 20mg big mistake I was already so high with anxiety it just made me feel like I was seeing moving walls shaking i could not even move and things like that so after 3 days I cut down to 10mg myself which nearly right away I felt a bit better but that only lasted 2 weeks then the anxiety got worse again so I went to 15mg then 20mg within 2 weeks I did feel really good on the 20mg for about 3 weeks then as like before I spoke to the doctor and he said 20mg should work for my anxiety that quit a high dose.
Anyway he said try 30mg which I did by going to 25mg which was very strange as all I wanted to do was eat all day and night still shaky so I thought 5 days later I should try 30mg when I was on 30mg thing were really good felt happy no anxiaty a bit to Fidgety which I could handle feeling so good doing everything i wanted o do this lasted about 8 weeks I thought I was were I wanted to be how wrong was i again.
I had a family prob with my wife I'm not sure if this caused the problem because 2 days later things started crashing my mood would be up and down within hours so I know it had to be the citalopram I felt happy then suddenly really down again I tried to see it out for a week which did but no change with moods going up and down really quickly so I ended up back at my doctors were he help loads again (not).
We decided to go to 40mg were I said at the biggening I would never go to as that is we're my brother is at.
Anyway this is we're I'm at now I only ever up 5mg at a time because of what happened at the beginning I have been on 35mg for 3 days now still getting anxious and mood keeps changing I'm not sure if the citalopram not working at all now because I have never had these mood prob before or should I try the 40mg and see.
The problem with me is ever since the biggening I have obsessed about these tablets which does not help at all maybe try coming of them will help but I'm really not better yet.
Please could some one give some advice with wot to do as my doctors is useless and he would not change my tablets for anything els but surly if they weren't working I would not have felt good at all.

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Are you seeing a mental health specialist, or a counselor?

I really think that's the type of assistance you need here to actually get help. If you're just using your family doctor, then that's the reason he probably doesn't want to change the medication, he's most likely out of his element for treating such things.

https:/­/­rxchat.com/­wiki/­Citalopram/­

I'm not a mental health professional, so this is just an idea, but what you're describing almost sounds like bipolar disorder and, if that is what you have, then you are not on the right medication and aren't being properly managed.

https:/­/­rxchat.com/­wiki/­Bipolar_disorder/­

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