Thanks. I haven't had the energy I once had but maybe I never will. I went through a long illness that may be part of the cause for lack of it, too. Long story but it involves the liver and damage and the results of treatment, good results and bad ones. Some liver disease is also thought to be connected with depression and I believe that, too. I've had severe symptoms, too, and several disorders so I may need a higher dose if I can tolerate it. As for counseling I've had plenty in the past and learned a lot. I do need a counselor or even a good friend for support and to try to get to making decisions to change some things, though. I've had a difficult time finding a compatible one. I think my problems have more of a physiological basis now and the last psychiatrist I had agreed with that knowing my total medical history, that is. My chemistry is very messed up in other words and from a whole lot of trauma and some medicines I believe, too. I'm not complaining because the medicines saved my life. The problem with me is because of my liver I cannot tolerate higher doses often but we will see and I'm not sure if the doctor wanted me to go up to 50 or not. I really don't see a lot of resolve on many depressive symptoms yet, no kidding. But then I have had to take risperdal and similar combined with an antidepressant for some of my depressive and other symptoms. May need to do that again. I have horrible thoughts all morning long and find it hard to get out of bed. I have to call the doctor and find out if he wanted me to increase as I can't remember. I will try the increase of Z route first because I'd rather take one drug than 2 or 3 or 4 and so on! The less the better, for me. I'm already taking other things for other problems, too. Thanks again, good ideas. CQ