I visited my psych the other day and, among other things, brought up the matter of the breakthrough depression symptoms during my luteal phase. He suggested buproprin, which is the generic name for Wellbutrin.
I'm not adverse to medication...Lord knows I'm on quite a bit of it right now...but something inside me balked at the idea of adding yet another psychopharmaceutical to my current mixture. Yes the downswing of PMS kinda sucks, but not enough to start tinkering again...especially since the cocktail of Effexor/Adderall/omega-3 and multivitamins works well the rest of the time.
Thank goodness he had another suggestion: full spectrum light therapy. Although come to think of it that may have been because I mentioned that the sun yesterday had helped the breakthrough symptoms.