Re: Severe anxiety, panic attacks, gad, intrusive thoughts
I don't have intrusive thoughts as such but I do have obsessive rumination, which used to rule my life.
Mirtazapine did nothing for it, but I was mainly on 15mg, only tried 30 for short periods.
I think mirt is best for depression and mild to moderate anxiety.
IMHO the SSRIs and SNRIs are good for calming your internal voice and stopping obsessions etc.
Mirtazapine is often prescribed at low doses alongside these medications.
I'm much calmer on duloxetine (an SNRI) alongside mirtazapine. Also I found pregabalin (an anti-anxiety drug) to be really good for quietening the mind.
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Daily Medication for GAD: Mirtazapine 15mg