### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am so tired, spacy, and forgetful all of the time. All I want to do is sleep. i started 50 mg of Zoloft for Post Partum Depression after I had my son. He is now 11 mo old. A little less than a month ago, I got married and moved. I am a stay at home mom, have been since last May. My biological mother had thyroid disease . My dad has sleep apnea . About a month ago, my female dr upped my zoloft to 100 mg and the spaciness increased. I have NO sexual desire. I feel like I m incapable of love. Something is VERY wrong with me. Three or four days ago, I called the female dr. and asked if I could lower my zoloft to 50 mg again. She said just cut my pills in half until the next prescription batch. I have been doing that. Meanwhile, I have started new birth control pills lo loestrin fe about a week after I got married at the first sign of bleeding like i was instructed. i had a light period for a week, then a very heavy period, then two days no period and back to light period again. I m not sure what is wrong, if it is depression/anxiety, anemia (i was diagnosed as anemic at my son s 9 mo appt), hormones, sleep issues, or something else like thyroid issues.

### output:

Hi, From your query it appears that you have multiple anxiety and depression symptoms. These problem increases perceived stress in routine life, sleep, appetite and activity level. You already have family history of thyroid dysfunction in mother. Thyroid dysfunction and anemia decreases response to anti depressants' treatment so get it evaluated and treated. I think your anxiety symptoms are not fully controlled with Zoloft, may be due to above reasons. Apart from that Zoloft itself lead to decrease sexual desire. It is better to seek consultation from specialist for such problems like psychiatrist so that your anti-depressant can be changed. Apart from that aerobic exercise, healthy diet and supportive counseling will help you. I hope this information has been both informative and helpful for you. Wish you Good Health. 