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Hello and thank you for using JustAnswer. I am very sorry that you are struggling with these panic attacks, I can understand how distressing this can be for you. Given that you have a history of anxiety and panic attacks, anything can re-trigger them in the future, so you are inherently predisposed to relapses and recurrences of your anxiety and panic unfortunately. Why you are having panic attacks right now could be because something triggered them or it could be idiopathic where the reason for the panic attacks is unknown. Given that .25mg of Ativan is a very low dose, I would recommend that you speak to your doctor about increasing your dose to either .5mg or 1mg to help prevent and stop these panic attacks. In addition, you can consider taking a SSRI antidepressant like Lexapro, Zoloft, or Paxil along with the Ativan to treat this Panic Disorder. Also it may be beneficial to enter into therapy such as Cognitive Behavioral Therapy (CBT) or Mindfulness Therapy to help you learn proper coping strategies to manage your anxiety and panic for the long-term.
If the .25mg is not very effective than yes you should consider taking the full .5mg of the Ativan. I cannot tell you exactly why they are happening while you are driving, as it would take at least a few therapy sessions to really understand your psyche and the pathology of these panic attacks, but in most cases (around 60 percent) the reason and trigger for the panic attacks are unknown which may be the case for you.
You definitely have a good chance of overcoming these panic attacks. I would recommend increasing the dose of the Ativan so that you can hasten your treatment because Ativan works very fast and once you reach a good dose your panic attacks will lessen significantly.
Panic Attacks are typically debilitating for most people and unfortunately if you have experienced panic attacks in the past then you are predisposed for them to come back at anytime in the future.
Definitely could be a contributing factor or cause of your panic. Increased stress, anxiety, and feeling overwhelmed all contribute to panic attacks.
I hope this answers your questions and gives you some guidance on this issue. Please let me know if you have any questions or concerns as I am happy to assist and support you regarding this issue.
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