Tahnk you for your reply waterknob, yeah it feels like my entire life has just been built around pain and suffering, as i have posted in a reply to rep which is yet to be approved i am now on my 5th different GP, which is at a different location to where i used to live(granted only a few miles away but still) all have always gone the same route send to a place called right steps who sends out a social worker to assess me who then sends to somewhere that gives occupational therapy which has me go somewere for 2 hours 1 day a week to do silly activities which don't even interest me or they send me for an assessment to see a mental health team who rejects me and sends me back to my GP for the cycle to rinse and repeat, so far in my 7 years i have been on dialusapin, citalipram,mirtaspine, fluoxatine, and now i am on venlafaxine, they have never given me a really high dose of them most of the time they have perhaps increased my dosage 1 stage and then tried new AD's so i get the feeling they aren't really trying