I can relate to all who are mentioning that New Year's is a trigger and causing even more depression....

This is exactly what I am experiencing, and the thoughts are even worse today then yesterday. I am just feeling really unworthy and lonely, yet at the same time feel the need to be alone to protect myself and just out of the need to isolate. My anxiety is through the roof, even on Klonopin. I didn't sleep until 5:30 AM and only had a light sleep. I see my pdoc Saturday, and I'm honestly not sure where to begin. I don't want to go on Lithium, because I am scared of needing all the blood work and health risks, but I have to be honest with my pdoc about the depression. My pdoc says we're limited as far as mood stabilizers, because I am on the highest Lamictal dose.