Great to hear that you are doing well Vicky. I do agree with Diamondgirl. Self honesty is the key. We need to be sure that we really need the medication and that we need the dosage given to us. Vicky, I realize that SSRIs hit different receptors and that Sub is an opiate. That was my concern and my resistance to starting sub. I didn't want an opiate period. However, my doc explained the possibility of permanent damage to my opiate receptors and that my body may never produce the amount that my receptors require even if some of my receptors quiet down and my body's production increases. The comparison of the two drugs was merely that both could have the same effect. Their mechanism of action is entirely different. A lack or shortage of endorphin production can create a depression which is similar to the depression that an SSRI could treate. I was given an SSRI to treat that endorphin depression and it didn't work. My body needed the opiate. Sub does work differently than your typical opiate such as Vicodin and thus the reduced potential for abuse. It has a ceiling effect. It also binds very tightly to the receptors and that is the reason it displaces other opiates. If you aren't in withdrawal, it will throw you into withdrawal. I tried methadone because I was having major surgery and needed to get off sub and methadone could definitely be abused. The bummer was that after taking oxy for the post surgery pain, I had to go through withdrawals before going back on sub. I have no idea what the future holds regarding my continued use of sub. My ultimate goal is to get off of it if it is possible. I do believe that there needs to be a shift in philosophy so that people are more tolerant of sub use and availability because it will ease the suffering of those who truly want to get off the other opiates. I read the posts on this board and can see the suffering. We are the lucky ones, but we still need to be honest. Take care and enjoy life again.