SNRI's or most anit-depressants often make the problems worse before they get better. It's up to you and your doctor to keep you on the same meds at the same dossage.
Personally, I get the chest pains after a stressful situation, and am calmly replaying it in my mind. I was told my my thearapist to meditate... which has yet to work for me. My friends tell me medication is the next step (and to see a doctor who can perscribe).
My sister is on a small pharmacy of drugs for her anxiey, including anti depressants. She is carefree and irresponsible now, and every couple of months is increasing her dossages. I don't want to be like her, without a care in the world, on a million different pills, but thearpy isn't working either.
I've shut myself in my room so my friends and roommates will stop asking me if I'm ok, but living like this isn't a life.
Now bettybug, of everyone I know on antidepressants, the ones who stayed on them for prolonged periods of times (years) are still on them, and their lives are chaotic. I do know some people who were on them, figured themselves out and got off them and are awesome people, free of serious mental health issues. I too am scared to even try any medication, but am getting desperate to overcome my problems.
If you decide to go that route.... just don't make the meds your crutch, use them as a tool to sort out, manage and overcome! We have the power!
Meds aren't supposed to be a symbol of failure, they are supossed to be an aid- not a solution. Money problems, realationship problems, social stigmas and behaviours etc are the issues, the drugs are supposed to subdue the crippling symptoms to deal with the problems. Conqure them, and learn how to manage them and you won't need the meds and you're in the clear!