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I am so sorry that you have been experiencing this severe anxiety, I can imagine how distressing and debilitating it can be for you
Usually Xanax and Klonopin are best to use "as needed" because the medication can be very physically addicting and using it on a regular basis can increase this physical addictiveness of the medication.
May I ask, have you ever tried Lexapro?
It is also a SSRI antidepressant like Celexa, Prozac, and Paxil, but Lexapro is usually more effective and has less side effects.
Well if that is your preference then the Klonopin and Xanax are the best for that, but that means you would have to take a constant supply of this medication as it does not accumulate in your system like other medications.
Since you do not want to take medication everyday, are you using a therapeutic techniques at all to help with your anxiety too? Because the use of Cognitive Behavioral Therapy (CBT) and the medication is considered the best approach to treat severe anxiety
If you are still having severe anxiety with these dosages, then yes these medications can definitely be increased, I would think about favoring the Klonopin over the Xanax as Klonopin has a much longer half-life and stays in your system longer. But your body may get used to these medications over time which means you would have to use more. This is the problem with these medications and why they should not be used as long-term
I am so sorry to hear about your history of sexual abuse. These medications will not cure you from that trauma, only therapy will. I would like to recommend looking at Dialectical Behavioral Therapy (DBT). This has a higher success rate treating anxiety from sexual abuse trauma than just CBT.
Well I would like to recommend Buspar. It is a great anti-anxiety medication with mild tranquilizer effect. It works similar as anti-depressant by increasing Serotonin, but it is considered chiefly an anti-anxiety medication.
Well I can look in your area for you if you like and try to find a therapist that specializes in DBT for you. Also here is a good website on it and a book I would like to recommend for you too.
Well a Master's level therapist can provide DBT too, and they usually have shorter wait times, but give me a few minutes to compile a list for you
Oh okay, well this is a therapist that uses DBT and does not prescribe medications at all. You can try to find a psychiatrist in your area and practice the DBT therapy with the website I gave you and the books too if you like. Still here is the name of the only DBT therapist I found in your area
In addition to Buspar, you can also try the use of Beta Blockers. They are used for hypertension, but have been used off-label for anxiety. They treat the physiological symptoms of anxiety well
I understand, most psychiatrists do not provide DBT therapy, as this is a more novel type of therapy
I understand, I just wanted to give you all of your options. I think using Buspar and raising your Xanax and Klonopin would be the best medical approach for you at this time.
Here is also a link of different medications to try to help treat anxiety as well
Anytime, I am always happy to help. Is there anything else I can assist you with?
You are most welcome, I hope that your anxiety goes away swiftly with these medications. My goal is to provide you with excellent service, so if you ever have any further questions or concerns please do not hesitate to contact me at anytime.
Before you sign off though, I would very much appreciate if you could rate my performance in helping you so that I can get credit for this question. Thank you very much