I totally understand your frustration but there are certain things you need to understand about your illness. Too many medications taken in inappropriate doses will not help you. Stick to one doctor and follow up with them. This will help the doctor understand you as well.
Last time we had communicated, I had suggested you continue Nexito and Mirtaz. If you lower the dose of Mirtaz, your sedation will increase as Mirtaz works in a slightly different manner. So it would be better if you continue Nexito 10mg in the morning and in the night and Mirtaz 15 mg in the night. With regard to Clonazepam, you can reduce the dose of Clonazepam slowly and stop it as it is a sleeping tablet. First stop your morning dose of Clonazepam and then after a week reduce the night dose of Clonazepam to half which you should take for a week and then stop it completely. Propranolol 40mg will surely help you in the morning time if your anxiety is not getting controlled at all. Do not start Pristiq (Desvenlafaxine) now as you already are being given Nexito and Mirtaz for the depression and anxiety.
Another thing about anxiety and gastric problems is that they are slightly related. The more anxious you get, the more there can be a flare in your acid reflux. You can an take antacid for that but only that won't help. Please check relaxation techniques which I had explained to you earlier. Doing these techniques will help you gain some control of your anxiety. Also please engage in some physical activity. You can definitely bring your anxiety under control, but it's a holistic effort that counts. Along with medications, enroll yourself in meditation programs as well to help you relax.
Hope this helps.Take care.