What next, venlafaxine partially helpful

Hey,

I'm feeling quite stuck about what to do and whether there is anything that can be done and my current MH. Would really appreciate some perspective.

37F, England.

I'm currently on 112.5mg venlafaxine and while it has definitely helped a bit: I feel more in control, less labile emotions and far less actively suicidal than previously when I was on various SSRIs, I still feel quite low a lot of the time.

Motivation is a problem, I go to work and appear to be functioning but I really don't feel like I am. I struggle at home, my husband does most of the day to day household stuff. I really struggle with my kids, being around them makes me feel so down and anxious and on edge. I'm struggling doing the things that I enjoy and that keep me well, running, swimming, making bread. I still see the friends but only because they initiate making plans. I have friends I no longer see because I don't have the energy to reach out.

I am exhausted all the time and given the chance will sleep for several hours during the day. I usually wake about 5am when I usually don't have to be awake until 6, but have been managing to get to sleep better than previously. In the past I've struggled with actually sleeping whereas now I feel I'm sleeping too much by napping for 3-4 hours given the chance- I still feel exhausted.

For a long time I feel like there is no joy on the world and this hasn't improved on venlafaxine.

I have been doing EMDR therapy for a few months and I really hoped this might help but I don't feel like it's making any difference to my overall mood, it is helping slightly with the trauma side of things.

I've spent a lot of time going back and forth to my GP over the past couple of years. I've been several different antidepressants including several SSRIs and mirtazapine, and amitriptyline for a bit to help with sleep.

I feel I need to go back to my GP but don't know what to say or ask for. I feel like there isn't anything else they can do. And I'm not in as bad a place as I was before, so maybe this is just it? This is as good as things get? Venlafaxine has definitely helped a bit, just not completely.

Feeling quite down thinking this could be life forever more.

I've been on my current venlafaxine dose for 6 weeks. I previously went up to 150mg but was completely exhausted and sleeping all the time so after 6 weeks asked to go back down.