Do you have bipolar? I ask because you don't seem to have a mood stabilizer on board. It could be trouble just adding an anti-depressant without one. I have taken Wellbutrin and have done well with it, but Guiness is right that it can increase anxiety for some people.

I also take xanax PRN (as needed, which in my case is *maybe* a time or two a week), which is related to Ativan and have had no problems with that combo.

Is your doctor a regular PCP? If so, he may not be well-versed in the need for a mood stabilizer in bipolar med regimens. Which is one reason I bring it up. When initially (mis)diagnosed, my PCP went the AD only route and it caused me bigtime problems. I did have xanax, but that did not prevent them. I'd hate for you to go through that.

I'm sorry you're in crisis, and hope you and your doctor can relieve that soon.