already posted this to a diff sub but, 
I am on the highest dosage of Venlafaxine that I can
take for my age. I still get anxious and have days
where I don't want to leave my bed but the main
problem for me is I lack the ability to get horny. I
cant feel anything "down there" and nothing makes
me feel anything. I sometimes skip my meds just to
be able to which leads me to dealing with
withdrawals which are the absolute worst. I don't
know what to do is there anything I can do to gain
this back/ maybe a med switch. Ik it sounds stupid
but it is a big part of my life and is important to