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Hello and thank you for using JustAnswer. I am very sorry that you are experiencing this level of anxiety and dissociation, I can understand how distressing this can be for you. You have to understand that the Citalopram is not just used to treat depression, it also treats anxiety and panic as well which is why it is a useful medication to take alongside the benzodiazepine. The SSRI antidepressants are usually the first line treatment with anxiety and dissociation, so I would recommend giving the Citalopram a try for 2-3 months and then gauging the effectiveness from there because that is how long it takes to reach maximum effectiveness with a SSRI antidepressant. Outside of the SSRI antidepressants, you can consider taking Mirtazapine as this atypical antidepressant is very effective for treating anxiety and associated dissociation. Another possible medication to consider would be Lamotrigine as this has been shown to be very effective for treating both anxiety and dissociation as well, so you can ask your doctor about this.
Please let me know if you have any other questions or concerns as I would be happy to continue assisting you regarding this issue.
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