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Hello and thank you for using JustAnswer. I am sorry that you are having this difficulty getting an appointment with a psychiatrist, I can understand how distressing this can be for you. May I ask, what is your specific mental health question that you would like an answer to in regards ***** ***** situation?
I can definitely understand your frustration with the mental health treatment system, but it definitely sounds like you are going to need an adjustment of medications. Because the Venlafaxine has been effective for you at 150mg/day, then most likely an increase to 225mg/day will be the next step. As for the Xanax, the problem here is that Xanax is an Addictive medication and a Controlled Substance so many psychiatrists are not going to want to keep you on that medication for the long-term (usually only a few weeks) and may not want to increase the dose either. Other substitutes that you can try would be Vistaril, Pregablin, or even a Remeron augment attached to your Venlafaxine.
I know you feel "horrible" right now, but you are going to need to work within this system so that you can get the proper medications. I can show you some relaxation techniques, but truthfully those are probably going to do next to nothing in terms of benefits as your anxiety, panic, and depression are much too severe.