I thought I would update this.
As I was not keen on the sound of Mirtazapine the GP suggested Venlafaxine. I tried it for one day, it made me a whole degree hotter, which meant I woke up at night because I was so hot. It did have an almost immediate effect on my thoughts, and also gave me abdominal discomfort. One day, 2 doses, was enough, it took days to get over it, although, because of the warmth that did mean days of no Raynauds symptoms.
I sent a message back to the doctors, no face to face appointments for this still, and instead of just having a prescription for Citalopram as I asked for, had to wait for another telephone appointment. I started on 10 mg of Citalopram last week, and increased to 20mg this week. It just takes the edge off, but does not do anything else noticeable. So, whilst I may still sometimes feel like crying, I cannot actually cry. The GP did suggest trying the Venlafaxine for longer, to get over the initial side effects but it was just too much, and I was concerned I would not be able to do my job, one place I go, they have a temperature gadget now, if your temperature is not normal, you cannot go in, that’s how I know I am normally 36.3 degrees C.
G