Anxiety under control with effexor (venlafaxine). depression is not better. any add on medications to help with depression? very tired all the time.

Yes, possibly: You may want to check your vitamin d level -- if less than 50, it can predispose to depression. Also l-methylfolate helps many people increase responsiveness to antidepressants. Third, fish oil at least 2-3 grams/day [1-2 grams epa, 500-900 mg dha/day]. Psychotherapy is an essential part of treating depression and anxiety. Ask your psychiatrist for referral if s/he does not provide this.

Try therapy: Have you tried therapy? Psychotherapy focused on understanding the causes of your depression and helping you to devise strategies to reduce symptoms of depression may be more helpful than medication for you.

MEDICATION: Best to discuss medication with your Psychiatrist. If uncomfortable with your Dr. consult another for a second opinion. Have a physical exam by a Dr. to determine if you have a physical illness. Consult with a Clinical Psychologist for psychotherapy with ZOOM sessions. Fears and anxiety could be heightened due to the Covid-19 pandemic. Stay safe & hopeful to elevate your immune system.