I'm 26 years old, female, 5'7" 165lbs. I've been on 40mg for at least 5 years and up until recently it was the only drug that ever helped with my clinical depression. But now I'm slipping back into terrible depression. Im afraid of losing my relationship, my career, my ability to function. My dr added 300mg of wellbutrin but that has had no effect.

Is effexor the next step? What about viibryd? I thought lexapro was the best thing out there. I'm really losing hope.