I seem to have a bigger problem with anxiety and anxiety attacks, many were brought on by caffeine, which I just realized. I think its best that I eliminate caffeine from my diet. The Xanax does help to get the attacks under control. I feel better on 30mg of Cymbalta than I did on 20mg of Cymbalta. I still think I should be on 60mg of Cymbalta and will recommend that to my doc.