@merpreb - thank you for asking. I had multiple physical symptoms (back pain, indigestion, burning sensations) but mostly a lot of anxiety and weight loss related to three months of working 16-18 hrs per day in a very high-stress environment. I never went to ER, I actually spent two months investigating structural problems with GPs and internal medicine, before being referred to consult a psychiatrist. Now, after introducing the Effexor, I started displaying mostly depression and only occasionally anxiety. Less and less functional, as days go by. But my concern is not necessarily my specific case, as we are all so different - just the practice of combining such drugs. Is it widespread, does it make sense? Is it dangerous? As to your specific questions: same doctor, no others, just adjusting the treatment every time as I reported my progress.