Well, I've not been doing so well recently - have only been on fluoxetine for 5 weeks and really felt I was getting worse not better. Unfortunately I bottled saying exactly how bad things were getting when I saw my GP last week and was very angry with myself for wasting the opportunity. This week has not been any better and I have still been self-harming, so I decided last night that I would go back today. Couldn't sleep so got up in the middle of the night and wrote some stuff to take in. Unfortunately I couldn't see my own GP - it was a GP reg, and I did get very annoyed with her as I had to go through everything again (not her fault I know) but she read what I had written and then sent me down to the hospital where I saw the psychiatrist. My OH had taken me to the doctor so I figured I had to also tell him about the self-harm; he was understandably shocked but has been great.
The psychiatrist was good too - much less scary than I had thought. I will see them again in a few weeks and will also get referred for various other things. Dosage of fluoxetine has also been upped. So hopefully this will start to make a difference to me.
I found the whole experience draining but I am glad I decided to go as I knew really that I needed more help than I was getting.
Thanks for all the support I have found on these boards so far as well.