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thought/mood disorder

I have suffered mental illness for the past fifteen years or so, and in the last three years have made significant progress. I was first labeled schizo affective, but never had any of the positive symptoms. My affect is flat, but i can get happy about things and also terribly sad. I also have a substance abuse problem which is currently in remission, but can seem to get more than a few months together, and that's a stretch. I have been to numerous psychologists and shrinks, but although some have helped, really haven't nailed it down. The greatest help has been Albert Ellis' REBT....Im taking paxil, 1mg respiredal, 200 lamictal.....does anyone have advice or can shed some light??