I refused them first time and I did get better myself but second time around I took them. I have another child and felt, even though the baby had no idea about how awful I was feeling my older child would - and did. I am still not better 8 months on but am getting there. However without the tablest god knows where I would have been. I take the highest dose of Sertraline after it being increased 4 times and I do not feel spaced out at all. I think it depends on how you feel. With my first I was happy to try without and it sounds like you Cas1980uk want to try. That is good. I couldnt do that this time and it is the best thing I did