I've noticed that Americans always seem to use brand names for drugs whereas in Europe we use generic names. I would have referred to Effexor as Venlafaxine, or Cymbalta as Duloxetine. I wonder if that's because we don't allow drugs to be advertised over here?
@Momster - Venlafaxine is an SNRI (serotonin-norepinephrine reuptake inhibitor) which are drugs very rarely prescribed here, mainly because people can sometimes find them very difficult to quit and they can have nasty side-effects.
Have you yet tried any SSRIs (selective serotonin reuptake inhibitors) such as Fluoxetine (Prozac) or Sertraline (Zoloft)? They are more subtle than SNRIs in their effects and with less potential side-effects. I've used them for years and they work well for me. Just enough to take off the desperate edge so I can function properly.