I've never taken Alprazolam, I take a different benzo called clonazepam, 1mg 4x day PRN. It doesn't always help, but I'm in between pdocs and when I start with my new one in June I might ask about other options. The only other advice I can give is to try relaxation or guided meditation cd's or deep breathing. Those don't always work either, but are worth a try. I really like the Total Wellness CD set by Belleruth Naparstek. I hope your pdoc can find something that works for you!
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From the movie The Hours: "If I were thinking clearly, Leonard, I would tell you that I wrestle alone in the dark, in the deep dark, and that only I can know. Only I can understand my condition. You live with the threat, you tell me you live with the threat of my extinction. Leonard, I live with it too."