"I have an appointment Wednesday, are there any suggestions on what has been a good medication to switch to?"
Now there is a million dollar question. There is two groups of meds commonly used for depression/anxiety. SSRI/SNRI (these include cymbalta) and benzodiazepines (used entirely for anxiety). Both can have a LOT of side effects, damage the body (liver, kidneys, nerve cells, brain, etc) and are very addictive.
If you rule those out due to bad characteristics you are tough out of luck. There is a few other meds to consider;
Depression - Tricyclics but they are hard on the heart and have a lot of side effects.
Anxiety - Buspar - Very weak but limited side effects.
Hydroxyzine - Fairly effective but only good for a few months before your body gets use to it and it doesn't work anymore. No withdrawal from this one either.
Clonidine - Works well and limited side effects. Lowers blood pressure so only a limited amount can be taken. Very good for panic attacks. can cause sleepiness.
Atenolol - Similar to the effects of Clonidine but does not generate much sleepiness and not quite as good on the panic attacks.
These are the primary meds. I am at the same point as you. I am sick and tired of the ssri/snri and benzos and all the crap that goes with them. I suffer from anxiety so I have maximized my chlonidine and atenolol so I can limit my ssri(Zoloft). To answer your question directly ....there are no good good substitutes. Sorry.