it can't hurt to try to contact your old prescriber. you said she "covers herself" by cellphone... does that mean you have her cell #? or if you call the private practice you may be able to leave a message that you are revving up and wondering about reducing the effexor and/or if other tweaks are warranted. she might contact you sooner. never know.

not knowing you or your history with depression, and since you are sort of between practitioners, i can't suggest to you to make changes on your own. that said, there is good rationale for reducing the effexor.

if you decide to go that route, you need to taper it slowly - many people experience withdrawal sx. i do have a concern that the pills/dosages you have might not allow you to reduce by small enough amounts at a time. in that sense, it might really be better to get hold of a doctor. they may also want to make other changes that can be done faster and will help you faster.

good that you are sleeping better!

~ waves ~