It will depend on what else is going on in your life. My therapist and psychiatrist don't actually agree on what my underlying problem is. As of last week the psychiatrist was suggesting lexapro (which I understand comes with its own titration issues - wheeeee) and then possibly wellbutrin. My therapist thinks ADD is the underlying problem - not depression. Tomorrow I'll know what they decided for the next try...or maybe I just stay drug free a bit longer.