hi. im so sorry you're suffering. some people take other things with effexor...remeron is a somewhat popular choice. what are your symptoms/problems? something more stimulating might help motivation, but of course adding -anything- adds more risks, too. not trying to be Debbie Downer, just...it is what it is, basically. my psych is looking at maybe trying mirapex with me, for depression. does something to dopamine receptors. there's wellbutrin...traditional stimulants, such as Ritalin...Provigil...some people say adding low dose Abilify helps motivation...

are non-drug treatments an option? maybe counseling, psychotherapy? art therapy? writing? the drugs only do so much, is the thing.