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Severe Panic Disorder: need to find the right medication ?

Question:
I suffer from Severe Panic Disorder, which as you can imagine, is very debilitating. I means that any kind of work outside the house is way too stressful. I hardly have much of a social life because the panic interferes with making new friendly. What I need is the correct medication. My doctor diagnosed me with GAD; and after 2 years I realize this is dead wrong. I hardly worry, I just have panic attacks (many per day). Iım wondering if anyone on here (a) has severe panic disorder, (b) what medications are used v(including natural medicines) ­ and at what dosage, and (c) what is the outcome, are all the symptoms of PD treated?




Answer:
I'd get on some meds that can block panic attacks. The best in my opinion are the benzodiazepines, which include Xanax, Klonopin, and Ativan. The dose needed to block attacks varies alot with the individual.

Most of the antidepressants are also capable of blocking panic attacks, but take 3 to 6 weeks to start working, and tend to have more side effects than the benzos.

By the way, it's common for people with panic disorder to also have GAD.

Welcome to ASAPM! There are many people here that have panic disorder and will understand what you are going through. I also suffer from panic disorder with agoraphobia and know how hard it is to do any kind of work outside the house. Socializing can be difficult, if not almost impossible when struggling with numerous panic attacks every day.

When you say your doctor diagnosed you, is this just a regular doctor or a psychiatrist? If it`s just a regular family doc, there lays part of the problem. Most family doctors lack the knowledge to diagnosis an treat anxiety disorders effectively. Your best bet is to be evaluated by a psych doctor that specializes in anxiety disorders. Getting properly diagnosed and treated is very important.

When you say you don`t worry...........do you worry or anxiously anticipate the next panic attack? A common feature of panic disorder is worrying a lot about the "next" panic attack. The worrying about panic attacks can almost be obsessive.

Here are some very informative links on panic disorder:

http://panicdisorder.about.com/od/pdbasics/

http://panicdisorder.about.com/library/weekly/aa052197.htm

http://panicdisorder.about.com/library/weekly/aa021997.htm

http://stress.about.com/cs/anxiety/a/panic.htm

http://panicdisorder.about.com/cs/pdbasics/a/panicdefined.htm

http://panicdisorder.about.com/library/factsheets/blpdtreatment03.htm

The most common, effective treatments for panic disorder are meds such as benzodiazepines (xanax, klonopin, ativan, valium) and/or antidepressants, ( prozac, zoloft celexa, paxil, effexor, etc). Then there is cognitive behavioral therapy. CBT combined with medication can make an effective combo. Effective treatment is very individualized......some people may do well with just a benzo while others need both a benzo and antidepressant. Effective dosages vary person to person, some do well on lower doses while others need the max dose to get relief.



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