Thanks so much for your responses! I will stick with the pristiq a little longer, but I kinda have my doubts it will work. I have a hard time handling anything that gives me additional anxiety. At least I have the xanax to go back to, at least for now! That does give me some comfort...
I am actually getting my meds from my gp. I have seen a psychiatrist in the past for cbt, but that was a long time ago. I like your idea regarding keeping the journal. I think that will help me.