I feel your pain of a good med failing after years and then trying to get it or something else to work again as well w/o side effects. Not an easy thing to do, but be assured that you will find something or somethings that will let you feel better eventually. Maybe not as fast as you want, but in time. As for acupuncture I tried it once, it was somewhat relaxing but it isn't going to cure a serious anxiety disorder IMO. Also Chinese medicine is basically herbs and stuff, some of which may have therapeutic effects, some of which do not, and some of which may actually be harmful. For example red yeast is well known in Chinese medicine for lowering cholesterol levels, it does work, but the active principle is a statin drug, and not the most effective (in terms of efficacy and side effects)) at that. Plus there is no way to guarantee the medicine's purity or quality, would you trust the food in China right now, so why would you trust the medicines any more (not that there is enough oversight of the so called natural remedies here in the US either to be honest)? If there was a Chinese herbal medicine that totally worked without side effects trust me we would know about it by now. The herbs that do have an effect (valerian, St Johns wort, kava) all have significant side effects and/or drug interactions, and they are no more effective, and often less effective, than pharmaceutical grade medicines. So work with your doc on an alternative AD since Viibryd does not seem to agree with you, maybe with a long acting benzo like klonopin to ease the startup symptoms for you until it works if needed.