I was taking Cymbalta 90 mg for 1 week (had been on 60 mg for 2 weeks before that Lexapro and Effexor), but when I complained about being so tired and achey, the doctor dropped the Cymbalta to 60 mg and added 150 mg Wellubrin. But the Wellbutrin hasn't helped. The doctor said give it more time, its been 1 week. I also take Ativan, but have tried to cut back during the day thinking that maybe that's doing it (I take .5 mg to sleep). Also, on top of it all, headaches are a problem, so I take Excedrin and the caffenine in that can make be anxious. I don't drink caffenine and never have and most of what I read says not to, but maybe some caffenine would perk me up. I work and its very hard. They are awful! How can I change this pattern of mornings being so bad with the headaches, fatigue, and depression? Things getting better as the day goes on. Its really hard to get going in the morning. Evenings are my best time. Any thoughts or suggestions on what might help me in the morning. Help! (By the way, I am doing Session 1 of the program.) I have been trying to get help from meds for a year now. I started out with bad mornings in the beginning and they are getting worse not better. In the beginning, before meds, I was very anxious with lots of energy, and had panic attacks. Now its the opposite.