I have just tapered off of Venlafaxine as it didn't help my anxiety, if anything it made it worse :(. In the past I have tried Sertraline, Mirtazapine, Fluoxetine and Citalopram and didn't get on with those due to adverse affects (mainly insomnia and joint swelling). I have a new gp and she suggested either Escitalopram or Paroxetine. Out of the 2 I think Escitalopram would be better but am just worried as with Citalopram I literally didn't sleep for 3 days straight. I have had anxiety for many years and just want to find something that will help me. Thank you x