My daughter has been on Lexapro, Abilify and Wellbutrin in the past. She is now on a cocktail of Tegratol, Serezone and Disipramine. Before starting the Disipramine her psychiatrist took her off off of the Seroquel that she was on. She was originally started on Limactical but got the rash so had to be taken off of that. So far it's not working well, but the Disipramine levels are well below therapeutic so the dosage was recently raised for that. ECT was recommended to her during a recent hospitalization, but she turned it down. Her psychiatrist (different from the one who treated her while she was hospitalized) told me that "ECT is a life saving treatment that is under-utilized". Sorry no help here, but it sounds like my daughter may be anti-depressant resistant too and possibly, just possibly, discussing it may help either you or my daughter, or both.