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I know someone in a similar situation - Effexor XR hasn't really improved anything and it's been a couple of years now. Was told that he should try to switch to Wellbutrin - we'll see what that will do.
My suggestions:
Learn a new language
Take cruises (short stays, won't allow you to fall in love with the place and want to buy a house ;) )
Volunteer to a cause you believe in
Wake up - take a shower and take a fresh air walk in the morning, give your mind time to think and settle your thoughts. Sleeping, watching tv, staying away from people helps feed the 'depression' or the sluggish mood.
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