Could be the the Effector isn't effective for you or any longer. I've had to switch around AD to find which one works for me. In the meantime, you could try some good multi-vitamins, b vitamins, magnesium, b12, tyrosine, gingko all help with mood.
Thank you so much for your commit am seeing doctor next week.
Sorry you are struggling.
Maybe you need to see your Dr and ask to be put on an anti-depressant.
The anxiety and depression were the worst part of the whole process for me.
There are a/d's that could really help you get through this phase.
Please go see your Dr about it and keep moving forward one day at a time.