I used to first see a counselor for anxiety, then got referred to a psychiatrist for the actual medication. Now I just receive my meRAB from my gynecologist, haha. I used to take Cyrabalta from the old doctor and it didn't work out for me (weight gain, too tired, not happier at all, no energy whatsoever) and heard good things about Prozac and love it. Many doctors can prescribe your anxiety medication if you ask them! You just might want to see a specialist if you have more detailed questions about it.