"i&#039;ve been on 75mg venlafaxine and 60mg mirtazapine for quite some time, with generally good results. though my depressive symptoms were largely improved, i remained suicidal and lacking motivation in life. i recently added 300mg of lithium carbonate, and have noticed some improvement with the suicidality. my main complaint is that i am less socially engaging, as if there is nothing to talk about, i could just be quiet most of the day. my mood is relatively flat, i&#039;m not sure if i will take it for long but it is worth a try."