Thanks for the replies. I was able to spend a good amount of time with my regular MD; I discussed the problems that I've had with medications that I have previously taken, and further discussed the issues of cost (which are a burden to me because of high deductible insurance). I was given samples of Viibryd and informed that he'll have enough samples to carry me for several months. I start tomorrow morning, and am hopeful that this will help. Glad that I get to see the doctor for a follow up in one week, and then two weeks after that. It's been a rough year...it's time for some relief.