Hello :-) sorry to hear of your tough time. Going through med changes can be rough. I'm actually in the process of getting off Topamax for a mood stabilizer... I've had the worst side effects from this medication than any other (and I've tried my fair share) lol. I'm an easily agitated and overwhelmed person as it is, but this medication made that the worst its ever been. While I was pregnant the only medication I stayed on was the effexor just because I knew I had to have some medication...I couldn't be without. I was taking one or two others but stopped them and just stayed with effexor since I had been on it for 6 years and drs thought it'd be the safest choice. When u start getting overwhelmed take a small break :-) my problem has always been letting my thoughts alone overwhelm me. I hope you feel better. Good luck!