If it were me, I'd taper and I'd take my time doing it. Most of us on this blog have done it that way, some of us after trial and error. As far as a holistic approach to depression, I know that can and does work for some people. But if it doesn't, there are other antidepressants besides Citalopram and Effexor/venlafaxine that perhaps your doctor would be willing for you to try. Good luck!