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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Anxiety And Post Traumatic Stress Disorder

I was diagnosed when I was 19 of Post traumatic Stress Disorder and high anxiety and panic. Doctor prescribed me first 2 miligrams of clonazepam to take when experiencing a panic attack and 50 of Zoloft. Took me 2-3 years to slowly slightly better and to slowly manage to control my extreme anxiety and have less panic attacks. I have followed this same treatment for 10 years and at times tried to leave but I fall back into a serious depression and panic attacks. I plan not to quit my treatment to take care of my daughter effectively as a single parent and work. I am 35 years old and my treatment is being changed and I feeling anxiety again like when I was 15-19. Just had another panic attack as well. Can't sleep, work, go to interviews, talk much, my chest hurts and feels like my heart is going to pop, can't really drive well nor cook. What is going on with me, I was doing so well and now I am back to hell.
Fri, 10 Mar 2017
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Psychiatrist 's  Response
what medications are you taking currently. as you mentioned you were on 2 mg clonazepam and 50 mg zoloft . i wonder why your zoloft was not increased by doctor during whole course of treatment . clonazepam does wonders when it comes to prevent and abort acute panic attack . but for long term management SSRI(zoloft one of them) works very well. a high dose of clonazepam recieved for a long time may be a reason you why you started to feel panic attacks again. you can request your doctor to more sliwly taper clonazepam and increase the dose of zoloft. which i would like to give to my patients
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Suggest Treatment For Severe Anxiety And Post Traumatic Stress Disorder

what medications are you taking currently. as you mentioned you were on 2 mg clonazepam and 50 mg zoloft . i wonder why your zoloft was not increased by doctor during whole course of treatment . clonazepam does wonders when it comes to prevent and abort acute panic attack . but for long term management SSRI(zoloft one of them) works very well. a high dose of clonazepam recieved for a long time may be a reason you why you started to feel panic attacks again. you can request your doctor to more sliwly taper clonazepam and increase the dose of zoloft. which i would like to give to my patients