I've been getting medical and psychological treatment for bipolar2, anxiety and panic attacks for over a year. Up until the last spate of hurricanes, I was progressing well and feeling like I might well return to a more normal way of life. I had major trouble with anxiety when I went on a short trip to England, and it's been downhill from there. With each storm that approached and missed where I live, I've become more and more anxious.

My depression has crept back. My anxiety waxes and wanes over the course of a day, and my panic attacks last for hours. I see a p-doc (I'm on effexor, wellbutrin, ambien and xanax), a therapist , and have been getting EMDR treatment which had been working great on my anxiety and panic.

Now I feel like I am almost back to where I started. My T told me that everyone has setbacks, and hinted that I was recovering almost too rapidly, if that makes sense. I see my p-doc next week, and I have not changed any dosages of meds on my own because I'm a wuss, I'm pretty sensitive to side effects, and would like to keep them to a minimum. I take no more than 1mg of xanax a day, and am paranoid about addiction, as I am a non-drinking alcoholic.

So - what do I do with a setback like this? Does it get better on its own (it feels like it's been getting worse over the last 3 weeks), or am I likely to have to make a med change?

Anyone have any insights as to how I can deal with this?
thanks all,
pc