Before my medical leave, I was unstable, and my pdoc increased and decrease and changed meds to try to give me some relief. But, my chaotic teaching job and my unwillingness to make any changes to my life were bigger contributing factors to my constant distress. For me, getting rid of the daily exposure to violence and chaos, has given the medicine I take a chance to get traction. I don't know about next month or next year, but I think I'll still be celebrating my escape from hell. I know you didn't ask, but, while you're figuring out your meds, is there some hellish element in your life right now that you can kick out?