((((((((((((((Meta))))))))))))) I am sorry that over 20 years you have only felt good 20% of the time. What does your pdoc think abou that? Have you ever gotten a second opinion? I know I went through many combinations before coming up with the right combination for me and even now he tailors it to how I am feeling. I am bipolar I and have not had an antidepressant ever prescibed for me but have read many times that it may trigger mania. Many people do take them though with being monitored. It seems to me that you should be working closely with your pdoc to make sure your meds are working to your advantage. IMO.

Please take care and I hope that you find the right meds soon. And yes, I really do think you need to talk to your pdoc on Tuesday.