Hello & Welcome, Court_1219. With your history, the panic attacks and poor sleep are signs of potential danger. How are you doing right now? Do you believe emergency or urgent care is necessary?

My experience tells me that poor, unrefreshing sleep undermines other attempts to treat depression. If your situation permits, get a sleep study done or at least try to practice (or experiment with) good sleep hygiene.

Make yourself at home, Court_1219.