Have you been diagnosed by a mental health professional (a general doc
is not a mental health professional). Your dose of Effexor
is getting very high. You are right now on two of the strongest and most difficult of all antidepressants to take and stop taking, paroxetine and effexor, and both target serotonin in ways that is very strong and is why they are so hard to stop taking. You need a different doctor ASAP, in my opinion, and a psychiatrist at that.