so i must not be able to tolerate the generics?
Most generics are as effective as the brand, though a number of studies have found that on average the brands work about 14% better than the generics, not because of what is in the box, but what is printed on it, i.e. because of the placebo effect.
Can anxiety become refractory? Is it possible that I've become resistant to meds? This is my worst fear.
Some people are treatment resistant, and some stop responding to their antidepressant, but there are lots of antidepressants so there is bound to be at least one which will work. And if it doesn't, there is a high probability that therapy will.
I would certainly try a try cyclic if need be. Which is the safest and best one for anxiety ocd and depression?
No antidepressant is intrinsically better than another, either generally or for a specific disorder, however, one or two may be more effective than the rest for an individual. The hard part is finding it/them.
My doctor is pretty adamant about re trying effexor.
This is your decision, and yours alone. Remember you're paying him/her, either directly, or via insurance, so you get to call the shots. It may well work, but given it wasn't a roaring success before I wouldn't bet on it. Effexor is one of the two best antidepressants for pulling folk out of really deep, dark, almost catatonic depressions and, IMHO, it is best reserved for that role. For anxiety is has no real advantage over the SSRIs, and a few disadvantages, particularly the difficulty in quitting.
I just really want to feel some consistency in my mental health again and I'm scared that I won't! !!
There are no hopeless cases, Carly, only people who give up hope.