Hey FaithlessCat- sorry to hear! My experience is limited but, I didn't have any success with Lithium or Effexor! Both have major side effects especially weight gain. For me, I love what I call the 4 L's...Latuda, Lamictal, Lexapro, and Lorazepam! I find that it's all about the right dose and med cocktail which only you can determine. Best of luck!!