*sigh* More changes -- my psychiatrist is giving me up. She's going to start working with Suboxone patients so I will have a new one starting next month. She says she takes good notes and I shouldn't have to "start over" really -- I should be able to pick back up right where I left off. We did decide to increase the Vraylar to help combat the depression. I explained it's both a mix of life events and just a general decline. My therapist told me to also mention she has noticed the difference in sessions as well. Next option if this doesnt work is to add an antidepressant to the mix. Here is to hoping for a good response...