<s>[INST] Hello,I've been taking pristiq for almost 2 years.  It has stopped working.....  I feel like i either have alzheimers or some other  disease like dimentia.  I've always been quick minded and am having problems remembering the thoughts I say in a simple sentence.  I'm only 49 and very healthy and active other than I have anxiety.  I have been happily married to my husband for 32 years.  We have 2 grown daughters and now we are blessed with 3 wonderful grandsons.  Truly there is no reason for me to have anxiety.  There are external reasons for this anxiety.  My insides feel like they are always going 100 miles an hour while my body is left to cope with this adrenaline.  Can you offer any advise or wisdom to me.thank youLaura [/INST] Hi there, thanks for asking. medications for anxiety and depression are not the cure for it. They should be along with psychotherapy in order to be treated. Talk sessions will help you to choose a way of feeling and thought that will not lead to depression or anxiety. I wish you a good health. </s>