Great question. I believe I have all the bases covered. I have a great support group, a therapist weekly, a psychiatrist, an internist, an addictions specialist , and I just went through a 5 week intensive out patient program. I am ready and really, really want to do this. I have never used street drugs, I don’t use alcohol either. I merely followed my docs advice, and have ended up dependent on these. I do take Effexor ER as an anti depressant, and I understand and know I will need this for a long time for my major depression ( this is my 2 Nd one besides two postpartum depressions). I’m praying I can do this. I truly wish I had never started them with the exception of Effexor. Sometimes I wonder if it is causing the sleep problems.