dfwsteph,
I have had more luck with the SSNRI's. A new one called Fetzima has worked better for me than anything ever has and I have been on a lot. Over the years Effexor was the best one except for Fetzima. Effexor eventually pooped though.
I too have been in therapy one on one, group therapy, 20 years in AA, years of Alanon, CBT, 20 years meditation, on and on.......