Just a quick post about treatment. The Wellbutrin I'm on ( 150mg ) was working but now, seems to be losing effectiveness. Going down the depression checklist, I have ALL the symptoms except for suicidal thoughts. Never had those so that's not a concern anyway. I tried upping my dose but that just caused side effects of irritability and insomnia which only makes things worse. I normally don't suffer from insomnia so that's an easy symptom to spot. Going back to work today after vacations and I don't feel much better than when I started. Possibly even worse without the stress from work involved. Another clue.
What keyed me in were the feelings of hopelessness. That's when I went to the depression checklist and realized this is now a problems. I have an appointment with my doctor next week and going to request a psychiatrist evaluation to see what they recommend. Maybe a combination of Zoloft and Wellbutrin since Zoloft ( despite some annoying side effects ) has worked well in the past.
Anyway, depression is a sneaky thing, it can creep up on you if you aren't paying attention to it.
J