As the others have posted you will want to work with the MD, different meds for depression and anxiety. Side effects also worried me and kept me from starting for over a month after prescribed. Wish I had not waited, but I think the reason for the low dose is to minimize side effects. I did not have any side effects, not even the one I wanted which was tiredness. I really wanted that so I could sleep.
My advice though is don't just count on meds alone,be sure to do the work to heal. I believe both combined have helped me. I would recommend a DB coach as another source of help.
Me 46 Former W 46 D19 D7 BD Feb 2016 WAW moves out 4/16/16 D final 6/1/2017
It's time for me to start changin' the way I look at the world......and at myself. ~James Howlett aka Wolverine