Recently I received a letter in the mail from my insurance company, stating that they would no longer be paying for my Cymbalta in full, sticking me with a bill that I can't really afford.

Which is fine with me, as I was considering a switch anyway. Cymbalta has been working, just not as well as I want or need it to.

The low cost options my insurance company has offered include Prozac, Celexa, Zoloft, and Effexor.

I was wondering if anyone had any experience with these, particularly for the treatment of OCD/anxiety. I have taken Lexapro with tremendous success, and I hear that Celexa is similar. Is this true? My pdoc and I are leaning toward Celexa or Zoloft, but I think it would be helpful to read some reviews and experiences.

Also, I don't know if anyone has this information, but is any one med more likely to induce mania over the others? I always use ADs with extreme caution (mood stabilizers and sometimes anti-psychotics) as I am a rapid cycling bi polar as well.

Thank you for reading.