Sounds like my symptoms as well, when I wasn't ready to end the effexor. Have you tried instituteing your own changes, or gone to therapy? I think I started doing better once I decided to not be a doormat to family, and to think about my years until retirement and what I wanted to do with them. As an at home Mom, I needed to re-educate myself, and enrolled in some short term courses (12 week) to help define myself/goals. Hind sight tells me being proactive has really helped. Really tough to get started though.