I have been on 300mg of Effexor XR for at least the past 4 years. I am only 21 years old. My mother believed I was manic depressive, my doctor placed me inpatient three times, once when I was in 8th grade. From leaving my house/family, I have found love, and happiness. My mother said that I could not possibly fall in love, and that I will always need medicine for the chemical imbalance in my brain (her words). I have recently found out that she was wrong... I am engaged and very happy, I am a successful college student for the first time. When I miss a dose, I am not depressed or emotionally unstable, however I feel horrible physical side effects. The only reason I am taking the medication is purely because of the pain it places on me. In fact I succeed further in classes and my relationship when I'm not on the medication, rather feel less foggy and more opinionated. I would like to get off my medication. I realize I need to talk to a doctor, however this is the same doctor that feels I am emotionally unstable, however my fiance who sees me everyday for 9 months straight as well as all of my close friends, seems to think otherwise. I realize it's unwise to go against a doctors recommendations, however I feel like my doctor is more of a voice of my family. Any idea's for successful weening off the medication? For the physical side effects?