First of all, with all the external stressors going on for you, it's not surprising that you'd be feeling anxiety and even panic. C'mon, Woman! People without your diagnoses are probably experiencing panic attacks in your neck of the woods right now!

Anxiety is a natural response, part of the fear spectrum. Fear is what keeps animals alive, that's why it survived evolutionary pressures. Anxiety itself is a natural response to certain situations, which everybody experiences at one time or another. It only becomes a disorder if it's experienced in inappropriate situations or to an extreme degree. Experiencing anxiety after three hurricanes is not especially inappropriate, but you're sensitized to it by both your psychological history and your physical history. Psychologically, you're more sensitive to it because it might mean that you're having a relapse. Physically, you're more sensitive to stressors, because your body figures that, if you want to over-express the physical response to anxiety, it had better accommodate you. Your body is "trained" to produce a stronger response to anxiety than someone who hasn't experienced anxiety disorders.

All of that adds up to a very worried partlycloudy, doesn't it?

Then there's the therapy, which you've been making such progress in, so rapidly. If you ask a therapist about this, you'll probably hear that there's a lot of two steps forward three steps back at certain times for certain people. I think, based only on my own experience, it's because it can be so frightening to realize that you're getting so much better -- you're stepping into unknown territory, after all, so falling back into the more familiar landscape feels safer. It doesn't mean that your progress wasn't real -- it means that that progress was so real that it scared you. And that means that you'll get back to where you were, just as soon as you're comfortable with getting there. It'll be easier this time, too. (<<That's a bet, not a promise.)

When you see your pdoc, you might ask about something to settle your adrenaline response, rather than changing the other meds. If you're hypersensitive to stimuli, then blocking that adrenaline can do more to help your body reset than anything else. Just a thought. Also, if the other meds were working, then it's probably just a little tweaking, not a big change, that will help now.

Also, you mentioned elsewhere dropping the HRT? That's probably also involved. You might want to have your thyroid levels checked again, as well as having a basic blood chemistry test done. It could very well be that you're experiencing psychological manifestations of a physical change.

I hope this helps. And I hope it gets better soon.