Pam,
I tried paxil and lexapro and both made me feel horribly dizzy, only stayed on each a few days. Then I tried zoloft for a few months, but it really didn't do that much and I was afraid of weight gain on it. I finally went on effexor and stayed on it for about 18 months. I don't know how much it helped, it was just one of those scared to take it and scared not to take it situations. The side effects I had on effexor were constipation, fatigue, sexual side effects, and possible weight gain (or inability to lose). I was also taking ativan as needed at the time, but only stayed on that for a few months. I weaned off the effexor very very slowly and didnt have too much trouble stopping it except for some increased anxiety for a while. Good luck, I hope you find something that can help you without creating other issues.
alisa
(by the way, Karend was also on effexor)