WI... this has nothing to do with "doing medication 'right'" it is just the way you are responding to the Wellbutrin.

I don't think that the 150 was a placebo. Maybe that is just the right dosage for you.

This is definitely something you should work out with your doctor... and I also agree that this is something you should consider urgent and talk to whoever is "on call" for him... don't wait for him to be available to you on his schedule.

I hope the caseworker calls you back... if not, call again, find out who is on duty to take care of you, you have an urgent issue with your meds and a recent med change, and make them put you on with someone who can help you. There has to be a doctor available at all times for emergencies.

Good luck with this WI, and maybe with some time back on the lower dose of the Wellbutrin it will turn out to be just the right thing for you. Wellbutrin was the first thing that seemed to make any positive difference for me. I was on the maximum dose for a while, I didn't /don't have any problems with it, but of course that is me, everyone will respond differently. My point is just stay in touch with your doctor until you find out something that responds well for you.