Reta isn't known for strong appetite suppression. If that's the main goal, switching to tirzepitide might work better. If you want to keep reta for its other effects, adding a bit of cagrilintide could help. Working on the stress and frustration is also worthwhile for all the other benefits it brings, not only around food.
I'm naturally very anxious and sensitive on top of having noticeable autism. Stress and frustration make me want to eat everything as my first reaction. Over the years I've gotten better at controlling those urges and found other outlets, yet eating remains my quickest way to feel better, and the worse the stress the stronger the pull. I was severely obese as a child and teenager but now at 19 I'm muscular and healthy. Even so, one rough day can still spark a major binge while I'm cutting. I've used reta only once and stayed at or below 3 mg per week because it worked well for me overall except on hunger. Appetite and food thoughts eased a bit but the binge episodes stayed nearly as intense. Should I try a higher dose hoping it will finally blunt those occasional binges, or look at selank and/or DSIP to deal with the stress and frustration instead?