All I have to say is all of the above. I took Effexor before and it works great and I have no side effects AFTER getting established on it, as long as I don't forget to take it. But I only have seasonal depression so I started going off it and two days ago was my last day and I can't even work because my vertigo is so bad. I'm miserable! Hope this stops soon cause I need to make money, not sit at home and sleep. That doesn't help depression much now does it? lol! Actually it's not so funny.