I finally met with my pdoc and he started me on epival and i was already taking effexor.........God I hope this works!! My effexor was no longer working and I was rapid cycling and so exhausted of the ups and downs!! Recently started cutting, in some ways to try to take the pain away in another to punish myself I guess!! Never thought I would ever do something like that!! My poor husband!! I kick him out I want him back, I scream and yell at him, he'll say something and I will get so upset and just cry and cry!!! Something has to make this better!!