Hi Karen25! I too suffered from depression and extreme anxiety. The best thing that I ever did was to check myself in to an inpatient mental health unit. There I got all the help I needed, and got hooked up with one of the best psychiatric doctors available in my area. I see him monthly now after 3 years. I take venlafaxine (Effexor) 150mg daily, and that's it! I have noticed a little depression post RNY surgery, but it's getting better already. Bottom line is think about inpatient help.