Hi I'm in need of some advice. I have suffered from depression and anxiety most of my life. I began taking Effexor around the age of 21 (43 now). A couple years ago I had a traumatic event that threw me into terrible anxiety and panic. I have felt like I'm literally losing it at times. I've tried upping my dose of Effexor XR with only increased anxiety and panic. I'm currently taking Effexor, Buspar, and Xanax as needed, along with weekly EMDR. I've heard some good things about citalopram for anxiety but I'm scared to switch due to potential worsening of symptoms. I just want to get my anxiety under control. Some common symptoms I've been experiencing include panic, mind going blank, derealization, denationalization, and feel like I'm living in a dream or not real. It's terrible. Can someone give me some advice? Has anyone switched from Effexor (SNRI) to citalopram (SSRI)?