thanks for the reply. firstly as i've been on the meds since august so i think i have given it time to decide whether to work or not. secondly i dont think i have any problems that CBT could help with as my anxiety seems to be caused by a hormonal/chemical imbalance and i was fine and balanced on Seroxat until I stupidly decide to come off it now it doesnt work for me and so it sems nor does anything else. Of course I wish you luck with coming of Effexor. I came off Seroxat with no trouble until 3 months later when I crashed but no-one can answer whether it was seroxat withdrawal or the original problem . still debating what to do, effexor has as bad a press as seroxat but like seroxat is a miracle for some