Hi Cheryl and Smiley,
Have you tried Celexa? I found no relief with Paxil (too many side effects), very little help from Effexor (tremors, sweating), was too afraid to try Wellbutrin, but have found some relief with Celexa combined with the occasional dose of Ativan, for when life gets really rough. I was prescribed 20mg/day but can generally get by with half (I'm a small person who is rather drug-sensitive). It's just a suggestion and I believe there is a generic substitute available.
Regards,
Nicole :)