What happened to me is I was on Paxil for 4 years and it stopped working. My sleep was terrible. I tried Zoloft, no better, then Serzone, which has since been declared dangerous and taken off the market, and then Effexor. This was in 2001. It has literally been a lifesaver for me.
I am also prone to seasonal affective disorder so I have a lightbox on my desk and turn it on for 45 minutes every morning in the winter, which is looooong here in Ontario.
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Adopt the pace of nature: her secret is patience. ~ Ralph Waldo Emerson