now I am on Effexor and I am ok with that, but they want to add lamictal when I feel my therapist is not helping me with what is causing me to be more depressed right now. I think a change in a therapist might be considered first, before adding more drugs. plus at this new psychiatrists office the nurses and staff call me dear, or honey, till I tell them I do not appreciate that. so I guess I need a change there too. no one ever diagnosed me as bipolar, just a mood disorder and of course long term depression.