I think so too you need to contact a hotline or at least a grey line. I'm not trying to be funny. In case you're unfamiliar with them they do exist. They are a line where you can just talk to a friendly, understanding man or woman. They are usually run by fellow people in the MH system. aka MH consumers. I know when I get severely depressed last thing I want to watch is TV shows because I either feel the characters are so much better off than me or the news is so depressing, discouraging. I suspect a med change either changing the dose of the Effexor or adding a med or a new med. OTOH I'm not a doctor so I can only surmise. I do know you need to let your dr know t he effexor isn't that effective for you.