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First, work with a pyschiatrist, preferably one who specializes in mood disorders. The pdoc should have you do a full blood panel to make sure your thyroid is okay and other possible medical problems aren't the cause. Then, work with the pdoc on the med to try. From what you described, I'd guess that Lamictal is an obvious choice. Antidepressants not working, working and then stopping, or making one too wired are classic responses of someone in the bipolar spectrum. As such, a mood stabilizer makes sense. What makes as much or more sense is to work with the type of doctor who specializes in mood disorders, not your GP/PCP.
I take Lamictal w/o an AD because ADs make me mixed or manic even on mood stabilizers. In fact, Lamictal is too activating for me to take w/o other mood stabilizers. Most likely, you are not that "bipolar." Some ppl get an antidepressant effect w/the first 25mg. Other's don't until they are over 100mg which is 6 weeks or more after starting. The slow ramp up is to avoid potential rejection of the med by your body.
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