My insurance carrier recently switched my prescription coverage from the Brand Name of Effexor XR to the newly available Generic. I have noticed that my depression is getting worse, my anxiety is off the scale and I am falling back into very bad self-harming, self-destructive behavior. At the same time that this was switched, I was also taken off of Celexa (10mg daily) which was being used as an add-on treatment for the Effexor. We stopped the Celexa due to severe bruising and nose bleeds. Is it possible that I just having withdrawal from the Celexa or can it be the Generic Effexor. At this point in time I do not feel that I am incontrol and I do not feel "safe" being on my own. Any insight would be appreciated.