Hi Brenda, Ask your therapist to recommend a psychiatrist to do your meds (instead of your GP). My experience (as a therapist for 36 years) is that folks who have trouble with side effects and getting an adequate response, do need to combine therapy with meds. Plus if your health plan offers any behavioral education classes on depression and/or anxiety, go take them. There are also many good books on the cognitive/behavioral treatment of depression and anxiety. The Anxiety & Phobia Workbook by Bourne is one of them. Or David Burn's Feeling Good for depression. It's not so important to determine where the anxiety is coming from. Just focus on the activities that provide some relief. And WALK...every day...whether you "feel" like it or not. That is the best help outside of finding the right meds.