I’ve suffered with severe mental health issues most of my life. I’m 26 now and usually there has been a reason for my anxiety but for the past several months I’ve had extreme anxiety almost constantly and derealisation episodes also and I have no clue as to why. Nothing major has changed or anything and it has really thrown me for a loop. Not sure what to do. I’m on 75mg of Effexor and I’m considering upping my dosage but I feel like I should get to the bottom of this first..