the
side effects (shakiness, nervousness, etc) usually start to
subside after about a week for most people (sometimes even a bit sooner). Also, remember that you have to take it for at least 3-4 weeks to really allow it to become effective.
I think asking your doc for a psych referral is an awesome idea....they will be able to treat you as a whole...meds, therapy, coping, etc. They also will be able to manage your meds....sometimes people require dosage adjustments...