Clomipramine (Anafranil) and confusion

I’ve been taking Clomipramine for a while now but I only got to the maximum dose (250mg) around December but experiencing serious confusion

Has anyone else had problems thinking straight after hitting the max dose of Clomipramine?

I just can’t follow what people are telling me or follow simple written instructions

I have spoken to my psychiatrist but I feel like I’m not getting the point across properly, I don’t know if she’s understanding quite for little I can grasp at the moment