jjcraigo, thanks for your response. Are you currently taking Effexor? Effexor alone probably won't help the thoughts and feeling that you are have ? I might sound hipocritical here, are you seeing a pdoc? ( I am not ) However , my GP, is I feel one of the best . I have been on alot of meds, but also am diabetic. So I have to watch what I am on. I love my GP, he has offered and suggested that if he can't get my bp under controlI see a pdoc. If necessary, I will, but so far he tries so hard to help me. And I feel like he is qualified. So props to him. Let me what's going on with you . I will out of town for a few days, with no internet access. Check back soon. Good Luck.