I'm on 6 plus now I have Ambien for sleep. It's a lot of meds, especially since I take Vitamin D, fish oil, and thyroid medication to help with the depressive side of things. But it's what works, and neither my pdoc nor I want to mess with the formula. Someday I'd like to see if we can reduce the number of meds I take just because it is so many, but honestly that's more of an ego thing...I hate to think I need so much psych medication.