Is your dr titrating you up to the 60mg? I hope?
My son took effexor for awhile, after he was stabilized with Lithium, and he did really well on it. We switched him to Paxil for his anxiety, and that worked better for him - but again - his moods were already stable on Lithium. This is an important caveat to taking SSRIs when BiPolar (BP). You cannot be still cycling and add an anti-depressant, without running the risk of the cycling being increased.