In Brazil, at least where you are located in the country, you don’t have the same kind of access to psychiatric services that you would likely have in the United States. Unfortunately, your options are limited.
Keep in mind that when beginning a new medication, it’s not unusual to experience side effects. For many medications, those side effects will subside after the first few weeks.
It is difficult to know if the type of medication that the general practitioner (GP) prescribed is the correct one for you. Finding the right medication often involves trial and error. Unfortunately, for the patient, this often means taking medications that temporarily produce unpleasant side effects.
Considering the limited psychological resources available in Brazil, you have to work with who is available. I would encourage you to report your side effects to the GP. You could also ask the GP about what other mental health services are available in the country. Ask if he or she has specific names or contacts.
The World Health Organization reports that Brazil has Psychosocial Community Centers (CAPS). CAPS seem comparable to the community mental health centers that we have in the United States. Though the CAPS program reportedly targets severely mentally ill individuals, social service workers associated with those facilities may be able to assist you in locating less intensive outpatient services.
Finally, you may want to consider returning to the United States. I understand the difficulties associated with such a move but at this point it seems as though you have nothing to gain from remaining in Brazil. The move might be difficult but the job prospects may be better in the United States than in Brazil. As you mentioned, your degree is recognized in the United States but not in Brazil. It may be something to consider. Please take care.
Dr. Kristina Randle