Well.. My depression has gotten so bad... I was crying and not wanting to get out of bed... did not go to work for a few days... told my boss I was having a problem with that and he told me to take my time. I finally called my doctor and we talked about the different routes we can take.  We can take me completely off the effexor (but I get HORRIBLE withdrawals from that) we can up the dosage (which is no longer possible since Im at the highest amount) or we can add another anti depressant. My suicides thoughts have gotten worse and sometimes they scare me with how much I really want to die and how alone in the world I am.  He added Wellbutrin to my already high amount of pills. So now I am completely manic... highly irritable and just not sleeping and acting myself. this is just the first week of taking this... I have to give it some time I know...  Something that is concerning me though is since I started Wellbutrin, my hair is shedding off... little by little... brushing my hair... washing it... its coming out. I hate side effects. Why can't they just make one pill for bipolars.... ha ha... I know we are all different... but still so alike.