I had an injury from work that caused chronic pain and the inability to sit down.

The pain along with not being able to sit with family for dinner, sit to rock my newborn, go out with my wife, etc. I had a trigger at work where I was told, basically, that I was having heart issues. It ended up being a panic attacj induced by the persons comments about why I had a headache and my jaw hurt (I have tmj) and then went from there including that I needed help asap and I was hypertensive. That got my heart beat to 180bpm.

Since that day I have had frequesnt panic attacks as well as daily anxiety attacks and a non stop anxiety feeling.

What are some meds that you are taking for panic and GAD. I can't tak much more of this. I can't convince myself that it isn't an embolism or blocked artery while I am in thr throws of an attack.

I have xanax .5 mg taken as needed and buspirone 7.5 taken at night and morning. The xanax worked at first to relieve the panic, but now even 1 doesnt help for very long. The buspirone doesn't seem to do anything except I get a little dizzy right after I take it.

I took one of my wife's 1mg kolonopin and it seemed to stop a pretty bad attack and kept it gone for several hours.

This morning I woke up at 5 am in the middle of an attack and I was getting ready to call an ambulance. I try deep belly breathing and tried to stay in the present which was hard. After a xanax I was able to fall asleep after a little while again.

I also have mild add, depression, mild ocd and personality issues.

My GP placed me on a small amount of citrprolam (celexa?) once a day as well as the xanax 5mg as needed. After 2 weeks I told him I was still having attacks so he took me off of the celexa and put me on buspirone.

I was taking 1800mg daily of gabapentin, which I just read can cause panic attacks and anxiety as severe side effects, so I went back down to the 900mg dose where I didn't have any sides.

I am at my wits end. I went to the duck game yesterday and the first three hours of tailgating I was disassociated and focusing on feeling any issues with my body and not enjoying life. I took the klonopin and then started feeling good which lasted for hours.

I just dont know what to do. My main concern is that I have a heart issue or blockages. I am only 31 with high cholesterol, normal blood glucose, no family histiry of heart disease, etc. But lately I have been getting exercise induced panic, or breathlessness and weak feeling with minimal efforts. If I go up a flight or two of stairs somewhat quickly, I feel short of breath. It is scaring me badly because I read up on pulminary embolisms. All my triggers relate to thing that can kill me like cardiac arrest or pulminary embolisms.

I am trying to make it the 9 days to my therapist appointment, but have to fight the urge to go in for a CT scan of my chest, a cardiac stress test or ultrasound to find out if my sudden shortness of breath is actually panic related. I used to be fit years ago and it isn't the "winded" feeling, it is more of a weak feeling like my body doesnt have enough oxygen so I have to take extra breaths.

If I need to go to after hours clinic, is there a relatively standard med protocol I should ask for?

It seem klonopin works well, but should I try a higher dose of celexa (the quick talk with PT mentioned it should be higher dose) along with wellbutrin?

The xanax and busbar arent cutting it for daily use.

Thanks for reading my ramblings. I have chronic pain, I have gone through great suffering, yet nothing compares to panic disorder/GAD.

Best way I can describe my feelings is being told your mom died (tight throat with lump), being very dehydrated, forced to face your greatest phobia (mine is buried alive) with the shaked and utter sense of doom, then feeling like your in a stuper. But with my GAD the panic doesn't reach a peak as high but all other symptoms persist for a majority of the day and escalate at time just dont reach the actul "panic" level where I am about to call 911.

I find it hard to believe at this point that with therapy and the correct meds it will go away. In the back of my mind that I push away to not think about, I can picture the "what if" images. What if this is the one time it really is heart trouble or a clot. If I could exercise it would give me a sense of relief that I am making it better and not worse, but I cant even do that now.

Thanks for listening to the ramblings. Are there any general protocols I can ask for. Last time he gave me xanax/celexa, should I ask for klonopin/valium/? I have never taken drugs before this started.