Do I need new antidepressants or other meds? I have new symptoms and my doctor !

Do I need new antidepressants or other meds? I have new symptoms and my doctor doesn't really listen to me.

I thought my Wellbutrin XL had stopped working because I am sleeping more, lack motivation (fair --> better side of poor), increasingly irritable and eating more (hungrier, mindless eating). My old symptoms were sleeping for about 12-14 hours a day, constant anxiety, crying frequently in private, poor hygiene, and essentially merely existing; all have been curbed drastically. I'm on the highest dose. I seem to relapse every time I go off a medication and Wellbutrin seems to be doing what the SSRIs failed to do. Because I cannot afford a seventh relapse (I will likely lose my job), I absolutely do not want to even attempt to go off Wellbutrin again. My doctor suggested Straterra or Effexor. I am unwilling to take the risk that it might not work for me which she trivializes.
These new symptoms are consistent with atypical depression. Should I/how do I bring up this possibility? The txs are MAOIs, SSRIs, stimulants and Lamictal. This would be in addition to, not in place of Well XL

2 weeks ago
I thought my Wellbutrin XL (highest dose) had stopped working because I am sleeping more, lack motivation (fair --> better side of poor), increasingly irritable and eating more (hungrier, mindless eating). Old symptoms were sleeping for about 12-14 hours a day, constant anxiety, crying in private, poor hygiene, merely existing; all have been curbed drastically. I seem to relapse every time I go off a medication and WellXL has worked. SSRIs failed. I cannot afford a 7th relapse (I will lose my job), I refuse to even attempt to go off WellXL again. My doctor suggests Straterra or Effexor. I am unwilling to take the risk that it might not work for me which she trivializes.
New symptoms consistent with atypical depression. Should I/how do I bring this up? The txs are MAOIs, SSRIs, stimulants and Lamictal. This would be in addition to, not in place of WellXL.
I exercise. Therapy is to manage depression, can only afford 1 session/mo. I eat well and work out. I am genetically predisposed.

2 weeks ago
I go to therapy once a month which is essentially to manage symptoms. It is expensive ($60/45 minute session). WellXL costs me $30, $20 when they send me $10 off coupon.

I eat very well. I eat healthier than anyone I know. Even now that I'm eating more, it's more of the healthy things I already eat.

I am physically very active. Even when I'm swamped with work or feel bad, I make myself do something. I force myself because it helps my mood.

I used to take sam-e which didn't do anything for me. I later learned that it generally doesn't work for people who don't respond to SSRIs/treatment resistant depression.

Please spare me the anti-meds preaching. I and most of my maternal family members wouldn't be here today without it. I was in therapy weekly for several months before my depression got to its very worst. Cognitive behavior therapy which I've had for the last 2 years has allowed me to manage my symptoms well enough to function without klonopin and trazadone.

Dear friend....If your medications are not effective then it is necessary that your doctor either change them or change the dosages. Sorry to hear that your DR is trivializing your concerns. Do you think perhaps you need to find another doctor? Is your doctor a psychopharmacologist? I didn't have any success with therapists and MD's until I saw a psychopharmacologist. This is an MD with a specialty is Psychiatry who knows a GREAT deal about medications and treats the symptoms with medications and leaves therapy and group sessions up to others. He/She can give you a referral to a group or a therapist but in the meantime will scientifically approach a drug regimine that best suits your needs. If you need further information please go to Miami New Times on the web and search under "The Last Temptation of George Petrie". It is my story and for years I was getting the wrong medications and being treated by physicians who "trivialized" my symptoms. Thankfully I found the right approach. Best wishes to you