I've been on venlafaxine for many years, doses have been altered to reflect my mental health state, sometimes 75mg per day, like you nicros, but at the moment I am on 300mg per day (150 am and 150 pn). The only other therapy I get is group therapy, where seven of us sit around with a psychologist and chat - don't think it's doing me any good, I think I could do with CBT but I think the waiting list to get on the waiting list is quite long. On a more positive note I think I am right in saying that if you are on venlafaxine and need a drug review, which you may need, you need to see a psychiatrist. But intelgal is right there may be other things available that may help too might be a good idea to see your GP and ask for a referral to the mental health team. Take care nicros.