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

### input:
I have been dealing with depression and nervous stomach anxiety for some time now. It started when My Dad died a year ago. Was just beginning to feel better and my beloved Golden Retriever died 3 weeks ago, now I am worse than ever. I take 5 mg of valium in the morning and I was on 20 mg of citalopram but My doc raised it to 30 mg almost 2 weeks ago. My nervous stomach seems to be just as bad or worse. I cannot get out of bed in the morning and function. I take the citalopram in the morning when I take the valium. Any input would be appreciated. Should I take the citalopram in the morning or before I go to bed?

### output:

! I have read the query and can see that you have been through a lot in your life recently. You have been on citalopram no 30 mg with Valium, but it is not helping. When I have such patient, where there is a lot of ongoing stress and severe symptoms, I have seen excellent results with-sertraline or Venlafaxine. The dosage I started low and then increased after monitoring the response over a period of 2-3 weeks.  Your doctor will know about it.# citalopram can be taken any time day or night, if it is not helping in morning, it is highly unlikely that just changing time will make effect. Changing the Chat Doctor. Along with the medicine, once there is some initial improvement- I think it will be helpful that you enter into a supportive psychotherapy sessions.these two will make you come back to life soon. Please take care of your diet and water intake, good nutritious diet is equally important...donor punish your self for what has happened, you never wanted any of this...if possible include all this in your daily diet-1. Three - four servings of salad, what ever you like2. Walnut 1-2 daily, may be almonds also3. Sprout4. Donot skip meals5. Please donor stay alone, this never helps6. Take a walk outdoors I can understand it is very difficult phase of your life, but please remember even this will pass.have courage. Hope the reply helps you wish you good health!