@shermananski , I just went to the top of the group list and saw your topic heading of spinning wheels. I'm in a set routine right now that is working for me, but I do worry that I will become caught in a rut now and again, to that place where you feel like you just cannot do anything that changes anything for the better. I don't like that you feel trapped, either, it is physically and mentally confining and brings out our negative emotions so much more easily. Can you strike a deal with your daughter to share the car on a schedule, with you taking her to school and picking her up on some days, to give yourself a little more control over getting out and about? What would be a good routine to get into for the coming months that would help you: would that be a part-time job, going to a gym, visiting friends? What has your therapist counseled you to do, and are you following up on that advice? I've never been on Effexor, but it sounds like the lowering of dosage might even indicate that it's not the right medication (alone) to help you with your thoughts. You might add the app from The Mighty to your phone to help you get some more input on how you are doing, it's a very good site, and they just made their phone app better.