I was doing poorly dispite counseling and doing a lot of work on my situational issues. I do have a genetic-based depression and will no doubt take life-long meds. I take 120 mg of Cymbalta and 30 mg of Remeron. We recently added Abilify as an addition, and what a difference! I have days I feel positively sunny!

Your pdoc may be wanting you to deal with your situational issues which are no doubt bringing you down. See if you can't get the add-on rather than a dose increase. Let him know that you can't deal with some of the other issues until you finish school. One thing at a time is usually easiest. 1. Finish school. 2. Get a job. 3. Decide about the relationship. Of course, you still have the kids to parent, no matter which of the other issues you are working on. Good luck to you!