I have heard of these medications petering out and not working. That is a big bummer. I assume they tried adjusting dosing? Have you taken any other SSRI's? Paxil is one that is a good med while it works but hard to come off of from what I've read. We have a member that had a life changing issue with paxil. Our doctor says that it is a viable medication to choose but it comes after others. You've tried celexa, prozac, zoloft?