Abilify is actually an anti-psychotic medication that did not do well as an anti-psychotic and somehow is marketed as helpful in depression. I have yet to see any reason to believe it help. I do see lots of nightmares, confusion, etc. with anti-psychotics. I am almost certain it is the abilify. It is also not indicated for someone of her age. The wellbutrin and Pristiq are OK. If she does not have a long history of depression I would want her checked for possible early neurological problems, just because of age. At very least, I would want her off Abilify. It does not need tapering.
Thank you very much