You should talk to your doctor about the side effects. I said it before but maybe they can give you something for the nausea like dramamine or something. Plus you should talk about either a different antidepressant (effexor actually made me worse and i tried to o.d.) or a anti pysch drug to help the antidepressant. I dont know how medicine and insurance stuff works in the UK. Its worth looking into and talking to your doc about.