Ok heres my story. hehe

I'm 23, almost 24. Panic Disorder, PTSD, DID, ADD, and now Bipolar.

I AM a disorder(just kidding)

about a year ago now is when I started having the bad anxiety attacks. It happened congruently with the discovery of a heart condition, although a mild one. I have simple tachychardia and I also get PVC's(pre ventricular contractions). The tachy is not so bad - I usually at most have a resting heart beat of 140-160 BPM when I have an attack. The PVC's I get so strongly that I have almost passed out from it, and I actually feel the pinch of blood pressure right through to my fingertips and toes - sometimes the force of it will actually show on my chest... its not fun.

on any hand, I take Effexor XR right now 150 per day(mg, not pills) And the doctor has given me Clonazepam and Ativan at times. The ativan I find bothers my heart so I only take it for sleep(plus it makes me very sleepy) The clonaze I rely moreso on them for anxiety, flashbacks etc.

The problem in all of this lies in the fact that the doctor I am currently seeing and have been seeing for the past year is extremely hesitant to increase the dose, or even to prescribe them at all. I completely understand the misgivings about its addiction and such. however, I still feel that I benefit from the clonaze in that it allows me to get on with my life and not be bogged down by the anxiety - currently I have not been able to work for three months because of things. He also does not know about the DID. It takes alot for me to disclose this to anyone. He was the one who diagnosed me bipolar(as did a therapist at the same time) yet he tells me that he doesnt feel "comfortable" "getting into prescribing medication for it" and says that its a "whole nother situation" with those drugs. He tells me "your too young to be getting into the clonazepam thing" and says that I really shouldn't be on them.

Well, considering that I am as bad as I am, and considering that after weighting the risks against the positives, I still feel that I would benefit from being able to take this medication. The dose I take currently ranges anywheres from 0.5 mg to having to take four of the 0.5's (which would be 2 mg). Since I have taken it, almost 90 % of the time I end up having to take the 2mg. Especially lately. When I explain all of this to him, he just reiterates what he's said, and I usually end up giving up and walking out of the office feeling like I am unprotected in the event that I get bad. Now I am currently waiting to see a psychaiatrist, and I know that once I get to see him and explain it likely wont be a problem anymore, but in the mean time, should I see another doctor and get a second opionion?

To give someone an idea of how much clonaze I need to take regularly, anywheres between 20-30 of the 0.5's a month on a bad month, less on a good one.

thoughts?