seventyeight I don't know if you have already, but you may want to try a SAD lamp during the winter months. I'm sorry you are having a tough time finding a good med combo. I trust that your therapist will monitor you closely, because unfortunately for me the depression was managable until I hit 31 and even with meds it still can be stubborn. For me the illness had gotten progressively worse; not to say that you will experience the same and I hope that you don't.