Expert: Jeanne Rust, PhD - 11/17/2011

Question
Hi. I am 31 yrs old. I started having panic attacks and agoraphobia at age 12, and have been on medicine pretty much ever since. For the last 5 years, I have taken xanax 1mg 3 times a day, and paxil 20mg 2 times a day. I recently started having  problems with both panic and depression to the point of missing work and not wanting to leave home. I have a constant feeling of guilt and "dread" that will not go away.

My work dropped my insurance about 11 months ago, so Ive been taking my medicine through a friend who has the same problems, and is on the same medications, because I couldnt afford them.
(I know that is VERY stupid, but I was desperate!)


I was wandering what to tell my doctor if I go back and if it is time for new medications, and will different brands (but of the same type) work any better?

Thank you much, James.

Answer
Dear James,

I'm so glad that you're taking meds -- yes, you shouldn't take your friend's medication, however, I know what it's like not to be able to afford medication that you absolutely need.

The thing to do is to tell your doctor the absolute truth.  Many medications lose their efficacy after a time and you'll need to find another one.  Many of the newer medications can work miracles.  Don't wait, James.  Make sure you get started on the right thing for you.  If your doctor prescribes the same thing, I would suggest going to a psychiatrist for another opinion. Also if you can, find a good psychotherapist or psychologist who specializes in panic disorder.

Panic attacks and agoraphobia are dreadful conditions.  They are difficult to treat.  However, the good news is that with the proper meds, you can feel so much better.  It's worth the struggle to find the right ones!

Let me know how you do!

Warmly,
Jeanne Rust, PhD
cEO/Founder
Mirasol
www.mirasol.net
www.edrecovery.com