Am i gonna need a med change or dosage increase?!

You may need an increase in your meds, or they may change your meds. Be sure to tell your prescriber all the symptoms you are having. Sometimes it takes a bit to find the right dosage.

You can try putting a rubber band around your wrist and snapping it, or hold an icecube in your hand so it hurts, instead of cutting. That is only a stopgap measure. You should be seeing a therapist. The drugs aren't that effective. You can also try moodgym, free computerized therapy, but imo, you also need to meet with someone. celexa might increase your anxiety