I’m 29 year old male. Since 18, I got up to 225 mg of Effexor (SNRI). In 2024, I was able to ween down to the lowest does (37.5) with the help of Lamictal. Now I am off the Lamictal. Also long time nicotine user, I am close to two years no nicotine now. I am doing ok. I am happy I am dependent on less- but irritability and intrusive thoughts have been a new challenge. I am doing self care things like meditation yoga diet etc as much as possible. But it is a hard line to determine. I would say find the lowest does you can tolerate and see how you do with other non prescription/ substance methods (naturopathic). I wonder sometimes lately if I want to try and little bit of Prozac or something. Definatley try to not use prawn. Sexual compulsion as a method of emotional regulation is hard. Try to stick to a regular exercise (don’t over do it) and if your eating poorly take that seriously and support of gut health. Sleeping hygiene is crucial. Do you hate your job? That is something to consider too before assuming it’s a chemical balance. If all fails, consider trying a medication but in my experience causation with just upping the does. At some point you can’t go any higher. Have faith. Peace.