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Severe Anxiety/Depression - help?

Question:
Just started a new job now. Its a really good job, the moneys good, the propects are great etc. Only trouble is I feel like crap. Having severe panic attacks and feel like bursting into tears and running out the building. I dread coming to work. (Its now day 4). Can't do that thought because I'd be letting down my family etc. But what do I do? I've had Diazepam in the past and that helps 'a little' but my GP is very unkeen on giving that to me.... Help! Help! Help! What can I do or what can I take?


Answer:
Been on PAroxetine 60Mg for the past 5-6 years. Most of the time I'm OK but the thing that really sets me off is a change of situation especially a change of job. Unfortunately, I've been in the position of having to change jobs quite a few times in the last 5-6 years. Each time its been a nightmare for a good few weeks. I was even in one job where I was depressed for a whole year (until I left), Just started a new job now. Its a really good job, the moneys good, the propects are great etc. Only trouble is I feel like crap. Having severe panic attacks and feel like bursting into tears and running out the building. I dread coming to work. (Its now day 4). Can't do that thought because I'd be letting down my family etc. But what do I do? See if you can get Xanax for your anxiety - it works quickly, and you'll know if that's the sort of help you need. Generics are cheap in the states, don't know about the UK. If you can get to see a psychiatrist .....................in this life............he might suggest Klonopin or some similar drug. Also, review your antidepressant to see if that might be contributing to your anxiety. Xanax is a poor benzo due to it's rapid onset (high addiction potential) short duration (you'll be popping them all day) and difficulty with being able to switch to a different benzo for tapering off your doseage Diazepam is lousy because of its long half-life, keep taking it and you'll wind up building up to a level in your system where you feel stoned all the time. It too has a rapid onset and therefore higher addiction potential. I would suggest clonazepam (klonopin) it doesn't have the addictive rush, has a long half life and is much more centered on anxiety as opposed to diazepam also being a strong muscle relaxant for instance. Lorazepam (ativan) is another one to consider, it's more towards the short duration/mild rush side of things and is also more specific about anxiety. But you're on day 4 of a new job, so the general school of thought is you're probably about 86 days away from feeling "comfortable" in any given new employment situation. You may want to talk to your doctor about a beta blocker such as propranolol and there are a number of anti-depressant drugs which claim effectiveness for anxiety. Is Propranolol considered a prn med or does it have to be taken regularly like an a-d to be most effective? I've been suffering severe anxiety again recently, to the extent I was considering trying to source an online method of obtaining something like lorazepam (my GP won't prescribe benzos) so I'm wondering if Propranolol would be a good alternative? The bad news is that none of us can prescribe medication for you, and your GP's knowledge is limited. The best thing you can do is get a psychiatrist who knows these medications, instead of a GP. Is that possible?



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