My point to MUMZY about taking clonazepam was related to taking it with the Effexor. Effexor is a strong SNRI and should be able to reduce the anxiety. If it is inadequate, there are other SSRI's and SNRI's that could be tried. Taking a benzo plus the Effexor is a good excuse for fatigue. The Effexor alone can cause somnolence (sleepiness).

Benzos are often prescribed because they are faster acting and can be used as needed. Effexor takes longer to get full benefit and needs to be taken consistently. Often, doctors that prescribe these psychoactive drugs are GP's or PCP's and not psychiatrists. The goal is to settle the patient down.