Hi Pam,
You have been through so much in the last year. Perhaps it is not only depression, it is also frustration, anxiety and stress. I know when my frustration and stress are high, I get teary as well. You have ALOT on your plate and pain sure doesn't help the situation either.
I have had good luck with SAMe because I just cannot find an AD I can tolerate.
The good news is SAMe is good for other issues like pain and keeping your liver clear, etc.
Thinking of you Pam....sending hugs and prayers.
Love ya

D.
One warning for folks reading this who are bipolar.One article below does mention it is not good for bipolar issues because it can make one manic. I believe that is in the second link, the Dr Weil one.
http://www.psychiatrictimes.com/depr...m-e-depression
http://www.drweil.com/drw/u/QAA40101...epression.html
http://www.mayoclinic.org/drugs-supp...g/hrb-20059935