I almost never have "pure" depressive symptoms, it's 9/10 times agitated/mixed depression.
I really don't want to take a med with its own issues to deal with a med with a lot of issues though. My psychosis only comes in manic and depressive episodes, so I guess I'll just only take what they watch me take(they did put me on quetiapine) and get a B52 in the ER (ativan's ok IM and having no supply of my own), transfer, and d/c whenever it comes to that, and go back to the beginning.