May be that the med you are on is no longer effective. I started out on Effexor - it was great for a while, but after a year or so I found myself very depressed again, thoughts of harming myself, constant mood swings. My stress was also sky high and the Effexor just wasn't working any more. Dr. switched me to Cymbalta which has worked really well for me and helps somewhat take the edge off the nerve pain as well.

I am on 60 mgs 2x day, which is max dose, but between severe pain, depression and messed-up sleep, is what need in order to stay on an even keel. I feel much better about myself, life in general, and enjoy my family more - and I'm sure they enjoy me more too!

beth