In my experience, if you choose
to take medications, do
it with the people who specialize in both what drugs
to use and
how to start and stop taking them safely, which is psychiatrists (or even better, a psychiatrist with a specialty in psychopharmacology). As for your fear of start-up problems, some antidepressants are more noted for the problems you mention than others. For example, Prozac is the most stimulating, so the most likely toncrease anxiety.