Welcome to the site.
I am a Psychiatrist and I believe I can help you with your query.
Well, had you been completely stable then the ideas of self harm or suicide would not be bothering you on and off, so the fact that you still have thoughts of self harm indicate that your Depression is still present and it gets flared up on and off, most likely due to overwhelming stress
Now as far as your drug regime is concerned, increasing dose of cymbalta beyond 60 mg / day will be of little consequence or use , if any since beyond this dose the likelihood of further improvement in symptoms is bleak. Secondly, better than adding wellbutrin to assist cymbalta in dealing with depression, a much better move will be to add
a mood stabilizer drug such as depakote or lamictal, any one of these two if added in once a day dose would give cymbalta the much required assistance and kick to deal with depression more efficiently.
So kindly discuss these options with your doctor , hopefully he will see reason in this suggestion and he may bring about this change for your own good.
I hope this helps.
Wish you all the best.
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