Exactly who are you seeing, a psychiatrist or a regular doc? And what are you being treated for? You're on two drugs that target serotonin, not a great idea that can be dangerous, and an antipsychotic. Have you been diagnosed by a mental health professional (a general doc is not a mental health professional). Your dose of Effexor is getting very high. You are right now on two of the strongest and most difficult of all antidepressants to take and stop taking, paroxetine and effexor, and both target serotonin in ways that is very strong and is why they are so hard to stop taking. You need a different doctor ASAP, in my opinion, and a psychiatrist at that. Now, you're not going to be able to just stop any of these drugs -- they will have to be tapered down from as slowly as you need to, but you're going to have to see someone who knows what they're doing and I don't think this person is that based on what you say you're taking. Please seek a second opinion from a psychiatrist.
I started on Paxil, but I was having too many side effects. My doctor changed me to Effexor XR 37.5 mg and it was the best thing for my anxiety. I was very happy with the results I achieved on the Effexor. I was diagnosed with Panic Disorder.