Thank you both for your replies. At the moment I'm thinking I would like to possibly come off meds altogether for a while, but be open to going back on if things go downhill.

But then even just writing this now, I get pretty bad even with the meds, I don't know if I should.

I will definatly talk to my psychiatrist, maybe come to some sort of plan with them. But then we only just agreed on trying efexor, I feel like now i'm on the max dose I should give it more of a chance.

Oh I don't know. :-/