i used to have a really hard time with it....i was given EffexorXR and it helped but the side effects kicked me while i was down.....i'm on a ton of stuff now for bipolar.....but i still have shades of it. i recommend the above post.....that's how i did things.....okay, today, i'll sit on the front porch for 5 minutes...tomorrow, i'll bathe...the next day i'll not wear gown all day....really small steps. thank god that my daughter was with me and kept me fed and tried to make me go to bed around 2 a.m. every night........good luck........