I feel the need to count in my head or else i feel like something bad will happen. i have anxiety also. is taking effexor (venlafaxine) the wrong treatment?

Anxiety not control: Discuss with your psychiatrist the need to modify or change your current treatment since you continue to have symptoms.

Anxiety: Your counting may be an attempt to control your worry. It is important to identify the reasons you are troubled and then have help developing new ways of coping. Effexor (venlafaxine) may help but learning better coping strategies through psychotherapy will more likely be more lasting. Best wishes.