Hello Kyrah, As a patient of 13 years & going though all the trying and failing of meds, the ongoing fight to get it right I've learned alot. You've been on Effexor that long, it may have stopped working. As we age, our bodies & disorders change or bodies adjust to the meds. They may not work as well or stop working at all. All you are feeling is an anixiety attack. It can make you feel so sick in you're head, nausea, extream weakness, heart flipping out just about everything one could feel & it feels like you're dying. Look up Effexor, it will tell you what the highest dosage is. Sounds like you need to change med's. It's a horrid, time consuming thing to go though, at least for me. I have many attacks but I stay in an attack. I've never meet or talked to anyone that has it ongoing like me. I took Clonazepam for 6 years and it worked great, I was still sick because I have it so severely but it did alot. Then I got super sick & told the dr. He said you're having an attack. I said but it's 24/7, yeah they can do that. First time in over a decade I'd been told that. Never had a clue. Two weeks before changing meds (highly) suggest you get on bioten 10k mils & 200mils zinc to prevent hair loss before it can start. it. Alot of med's cause hair loss even though its not on the print out. Demo Dr has a book that lists all side effects, thats how I found out it was the meds. Clonazepam & Lamital cause hair loss. I wrote the co & they sent a very long page that noted it, but not on the paper I got so I'm going over that now because I'm beyound ticked. Dr put me on valium known as diazepam, 5mg twice a day. Works the best Im ever going to get. I must take it exactly 12 hours apart or I get so sick. Look up anixety drugs, make a list. Note all side effects. Do you're own homework. If there is a side effect I'm the type that has it. You may be stronger than me against them. I'm the 1%. Start a notebook. Write down every med you've been on & the dosage. Make notes of any side effects. This illness effects memory, a pen never forgets. Dr gave me another prescription because I constantly complain of feeling like I'm in heart failure which was really severe when I was on Effexor. I looked up Buspar & didn't get it. Dizzy, blackouts etc no thanks. Why should anyone be on 2 med's for the same disorder? Not smart, after reading it was another anixety med I was TICKED. Sometimes the benefits out weight the side effects, sometimes the side effects are worse than the disorder. I can't stress enough, search anixity drugs and start writing or copy & paste and have you're info at hand when you're dr is about to prescribe something so you are armed w/questions. Dr may lean towards a better drug for you based on what you know. My mental health dr seems to care, but all they know is talk crap, no concern about side effects just write prescriptions for whatever. My Dr sits at a computer, if yours does tell the dr, bring it up on the net & lets look at the possible side effects. I was so sick for years I couldn't walk to the kitchen, fought to shower so thinking of keeping a health record myself never crossed my mine. All in a huge stack of papers, now they use computers. Dr's ask me, have you ever tried so & so? I don't know, I've been to sick & I don't remember things anymore, you're the dr you should know but they don't. Get a notebook that has a real hard cover, cheap at dollar stores. It will withstand years to come. Write everything down about you're health & drugs, Dr's visits, dates, tests everything. I was so sick for years I could't even care for myself, how was I suppose to remember all the drugs they tried? 13 years later I started my notebook. Family dr when I broke out & itching, he said you had that before. I did? Had I wrote it down? hindsight. We cannot depend on Dr's. We must take an active role in our own care. Research always. Ask about side effects when getting a med filled. Drugstore.com for vit's. better than walmarts vit's.