"i had severe depression and moderate ptsd. this medication (along with an intensive community treatment program, a psychiatrist, and bi-weekly counseling) helped me to keep going with life. yes, i gained weight in the beginning. this was due to intense sugar cravings. i do not buy ice-cream, chocolate, or cookies anymore, and have since lost most of the extra weight. for me this was the best option, with the fewest side effects. it has continued to work for 3 years. when i tried to stop taking it, i relapsed. my doctor and i decided it should be a long-term medication for me. this medication has also reduced the frequency of my migraines (but i still take a &#039;rescue&#039; triptan as needed)."