Accepted Answer

Thanks for the reply ..

 

Well, if you are sill having panic attacks despite being placed on 1 anti depressant such as pristiq ( desvenlafaxine ) and 1 anti anxiety drug such as xanax , it is sugestive that you have developed increased tolerance against these drugs meaning that your body has become reisistant against these drugs , so this warrants a change in your current regime .

 

I suggest that instead of pristiq , you ask your doctor to start you on Paxil CR or Prozac , which are better in treating anxiety attacks ,so any one of these two anti depressants shall be chosen and started , while continiuing on Xanax .

 

And along with this drug change i suggest that you should start seeking psychotherapy ,that is counseling from a psychologist , and the best type of psychotherapy for treating anxiety attacks is Conitive behavioural therapy ( CBT ).

 

So, combination of CBT with drug therapy comprising of xanax and paxil cr or prozac will see you through anxiety attacks , plus CBT will help you to develop techniques and mental exercises which will help you in dealing with stressful situations and coping with them in a better way.

 

I hope this helps..

 

I wish you all the best..

 

Please press the ACCEPT button if you are satisfied with the answer as only then will i be credited for my service.

 

Regards...

Expert:	Dr. Kaushik
Pos. Feedback:	99.3 %
Accepts:
Answered:	9/17/2009

Psychiatry Resident

MD Psychiatry Senior Resident