View Full Version : Medication - Your Views?
As the title says really, what are your views on medication? (Anti-Anxiety medication) Do you take it? If so what do you take? Does it help? Do you suffer any side-effects? If you don't take medications, why not?
I'd really appreciate your views on this as I'm currently weighing up the pro's & con's of medication to make a decision on whether it's the right path for me, as after 4, nearly 5 years suffering I've had enough!
Thanks :)
I don't take medication and my reason is my doctor refuses point blank to give me any. His view is that medication should be seen very much as a crutch with anxiety so why not get to grips with it now. I do see his reasoning but by Jove haven't I suffered at times, well I still do but nothing I say will convince him that it will be of any real use long term. Mind you he thinks medication as a whole is used inappropriately a lot of times and is a quick fix but the longer picture tells a different story.
I'm currently taking 45mg of mirtazapine a night (started on 30mg and was increased to 45mg about 6 weeks ago), have previously been on citralopram and clomipramine, I think mirtazapine is more effective than the other 2.
My g.p switched me from clomipramine to mirtazapine as I was having real problems getting to sleep. It has helped with the sleep although I suffer from restless leg syndrome and anything with a sedative in makes it worse so if I don't manage to fall asleep before the effects of the tablet kick in I then end up drowsy and twitching - not a great combination!
To be honest I'm not really sure if the medication is helping me or not, I'm in a difficult situation at the moment (homeless and living in a B&B) so my anxiety is far worse than it normally is. My depression is also a lot worse and the lows are extremely bad.
My g.p has recently suggested lowering my dose back to 30mg as he doesn't think the extra dose is really helping me. I saw my mental health worker last week and mentioned what the dr had said and explained that I'm barely coping as it is and am terrified if the dose is lowered and he's going to put it in my notes (they both work at the same surgery) so hopefully I can stay on this dose until my situation changes.
I was diagnosed with anxiety over 2 years ago and I do feel that I am making some progress, I didn't used to be able to go out much and was extremely isolated. I can now get out a lot more, still have huge problems with social phobia but working on it. I don't think I'd have got as far as I have without being on medication. I should also say that it is different for everyone, I was always very against medication but it got to the point that I was willing to try anything to help me. I do believe that lots of other things can help with anxiety, my mental health worker is a saint and offers really good coping skills, I also do yoga once a week which is a big help.
Hope you decide what's right for you :)
I've been down a very rocky road with all the med's, would need to check but I think I've tried 5-6 anti-depps over the past 9 years, some made me much worse, I must have had nearly all the side effects at one time or another.
I should be taking at least 3 for my cardiac troubles and if the doctors had their way one or two others as well!
I'm prescribed Amitrip 50MG a day at the moment...but I'm not taking them...they don't do anything for me.
I'm stable at the moment so I'll try to keep away from any med's, often, especially first thing in the morning I can feel like I'm going to crack but I fight it off quickly and I find if I occupy my mind I'm OK.
My wife is a cancer patient and is taking 50MG Fluox every day and has been for some considerable time, she can't cope without them due to her illness and can easily have a servere anxiety or panic attack, she sleeps for short periods all throughout the day, the med's do help to control her thoughts but Its a worry to me she will accidentally take too many.
In answer to your question I think you should at least try something which might suit you and see how you feel then...If you don't try you'll never know if it was a good idea or not, hope this helps a little.:)
J.
Hi Jaydeee, I would say it all depends if you've tried everything else? I've just gone back onto venlafaxine as I've hit my "rock bottom", and was close to a total breakdown. It's the only ad that helps me, I've tried many over the years :( I actually hate taking meds, but my ptsd has beaten my resolve, and I've given in :( If you feel like you're going nuts without it, then I'm not sure it's worth all the suffering? Maybe just try it for 6 months or so? What symptoms do you have? Anxiety, depression...? Good luck :)
Hi Jaydeee,
To answer your questions:
Do you take it? I took diazepam for a couple of months earlier this year
Did it help? Yes!
Did you suffer any side-effects? None
For a little while I had been in the same dilemma as you, thinking about the pro's and con's of anxiety meds. I'd already been on anti-depressants for a while (sertraline), so the question wasn't so much about meds or not.
But then last year I started becoming very anxious. At first I was loathe to add in more meds, and wanted to just increase my existing dose of a/ds to see if that would help. It didn't help enough, so I changed to mirtazapine. I agreed to this when my uni mental health advisor reminded me that it isn't normal to be so anxious and stressed constantly that it makes me physically ill (I think it is true that you can get to a point where you forget what is normal, or that a normal even exists!), and that everyone deserves to try something to make them happier.
When the initial side effects (I think that's what it was) of mirtazapine increased my anxiety and made me feel really riled up inside, the clincher for me to take diazapam to help was when the advisor again gave me good words of wisdom, that if dz'pam was going to keep me calm and safe while the mirtazapine kicked in properly and had a chance to work, then why argue against taking the med? She was right, things did calm down, I was able to stop needing dz'pam after several weeks, and now after six more months, I'm more stable and starting to taper off mirtazapine :).
Sorry that was a convoluted response. Basically, from how I see it, if you're unhappy without a short term reason, and anxiety is making it difficult to do normal things or to keep safe, then why not try something, especially if side effects can be managed? I know it might seem like an alien thing to tinker with chemicals, but afterall, that's what we're made up of!
I don't take medication and my reason is my doctor refuses point blank to give me any. His view is that medication should be seen very much as a crutch with anxiety so why not get to grips with it now. I do see his reasoning but by Jove haven't I suffered at times, well I still do but nothing I say will convince him that it will be of any real use long term. Mind you he thinks medication as a whole is used inappropriately a lot of times and is a quick fix but the longer picture tells a different story.
I think that you should report this so-called GP to your local Primary Care Trust as that is an absolute disgrace.
Of course the medication is a 'crutch'. I was told the exact same thing by my GP but she also referred me to MIND for counselling which IS where you tackle the causes of the anxiety/depression, etc. so it is not as if meds have to just be given as a cure all as he thinks. I wanted just the meds at the time I first saw my doctor years ago as I was so depressed I did not want to speak to anyone in the counselling field, but she refused the meds unless I agreed to the counselling, which I now see as a responsible decision.
So if someone driven to the point of suicide suffering severe anxiety walked into your GP's surgery he would refuse them meds because of his jumped up, self imposing ideas about them being 'a crutch'?? Why on earth is he in that job if he does not agree with the usage of drugs to help patients in need?
He is negligent, and the fact you have suffered for it is disgusting ronski xx:lac:
Anyway, back to the topic (sorry for going off topic) as said already I really did not want meds at first but I caved in when I started having panic attacks which terrified me. Yes, there are side effects (I was on Cipralex 20mg at first) but it is something you can get through, and once you get through the eye of the storm there are better skies on the other side...much better.
Meds saved me, as well as the counselling of course. They helped lift the terrifying symptoms of anxiety and depression, and just gave me hope. I was worried they would change me mentally in some way personality wise, but they didn't, they just lifted me up from the depths of despair and helped restore some semblance of the 'normal' me.
I came off meds some weeks ago, and I finally feel like there is lightness ahead, even though I have various problems going on right now.
I would recommend meds to anyone who is suffering these terrible conditions. You don't have to suffer without help.
Take care.xxxxx:hugs:
im the same as u ronski my doc wont give me any meds even tho ive begged him for some on my bad days. i dont think anyone should be refused meds. i think u should have em if u need em.
Something to remember about gp's is that they tend to leave mental illness to psychiatrists, psychologists etc who specialise in mental health.
If a patient attends an appointment with a gp and the patient says they're feeling really anxious and depressed, the gp will only have ad's to offer because they don't have the time to delve into finding out the underlying causes that are affecting their patient.
I think if someone shows obvious signs of pure depression without anxiety they would offer ad's and at the same time refer them to a psychiatrist. However, when the patient is also suffering from anxiety I think even the gp's are divided as to how effective they feel ad's are towards helping anxiety and I must admit, I can understand why.
When I first became ill with severe anxiety, my first gp offered me diazepam but he didn't warn me it was addictive until I realised later down the line by which time it then took me 6 months to come off them. However, I did find that the sedative element of diazepam did help IF taken "as and when" and Not daily.
When I later tried various modern ad's, they all improved my mood but did nothing for my anxiety because the underlying causes weren't being treated i.e. too much stress at home and at work.
However, in my own opinion, when people are told they suffer from "anxiety", I'm not sure they're made aware exactly what it is and what the underlying causes can be. Anxiety is another word for WORRY and worry is caused by SELF-DOUBT. Self-doubt causes FEAR which is linked to a LACK OF CONFIDENCE and this often happens after a traumatic experience or after a long period of extreme STRESS.
I can understand how ad's work for pure depression because they lift a patients mood hence being called ANTI-depressants. However, I'm not convinced that ad's in themselves are really the answer for anxiety so I can understand why gp's are also divided on the subject.
One way I can see ad's helping is via lifting the mood. If we feel happier, we feel less afraid and less stressed but there could be more to it which confuses the picture. I came across the following paragraph on a large piece posted by psychopoet about citalopram which shows just how difficult it is to know how effective ad's are even if the patient really "believes" they're helping...
Q. I hear that in medical trials, placebos are more effective than citalopram. Is this true?
A. Placebos are "fake" medication such as sugar pills which are given to people during medical trials. Half the people in the trial will be given real antidepressants, the rest will be given placebos, and none of the people will know who has been given what.
Large numbers of people who take placebos tend to feel better. In some studies, the placebos seem equally (or more) effective than actual antidepressants, although there are plenty of studies available which show SSRIs including citalopram to be greatly superior to placebo in the long run.
You will naturally start to worry that this means antidepressants don't work. Think about it from a positive perspective: placebos demonstrate the tremendous power of positive thinking! The people who are taking them BELIEVE they are going to get better and lo and behold, many of them do!
My feeling is they do help to lift your mood because that's what they were intended for but I do also feel that "anything" that restores our self-belief and self-confidence would have the same benefit and examples would be via different therapies.
Ad's "can" help but I do feel people should be made aware how they can also complicate matters and how easy it is to end up taking them for life for anxiety caused by a stressful event or period that no longer exists. However, I do feel that if someone feels really depressed through pure depression they really should take them. Even for anxiety, if someone feels really depressed due to stresses, ad's "can" help but the underlying causes also need to be treated.:hugs:
Anxious_gal
16-09-11, 03:15
Just wanted to say, in terms of clinical trials you can check that up online:
Antidepressants don't really work much better than placebo's for mild to moderate depression.
BUT in very bad sever depression, antidepressants do work a lot better than the placebo.
Exercise though has show to work almost as well as antidepressants but getting a depressed person to exercise can be hard lol
Anxious_gal
16-09-11, 03:18
I know what causes me to be sad, it's lack of family support, understanding, lack of feeling loved, lack of being treated as a human being.
If one person is nice to me that can lift my mood for the rest of the day.
But the cause of depression is different for every one.
My feeling is they do help to lift your mood because that's what they were intended for but I do also feel that "anything" that restores our self-belief and self-confidence would have the same benefit and examples would be via different therapies.
Ad's "can" help but I do feel people should be made aware how they can also complicate matters and how easy it is to end up taking them for life for anxiety caused by a stressful event or period that no longer exists. However, I do feel that if someone feels really depressed through pure depression they really should take them. Even for anxiety, if someone feels really depressed due to stresses, ad's "can" help but the underlying causes also need to be treated.:hugs:
I completely agree Bill.
The main problem for me personally was I tried so hard before I saw my doctor to get through things myself. I tried to get myself up out of bed, I tried to find the energy to shower in order to feel physically more myself, I tried to tell myself to buck up, and so did everyone around me, but no self talking or self belief helped me. It was like a deep well I couldn't claw my way out of.
The panic attacks tipped me over the edge as I was so scared. No amount of self-help would have got rid of them for me, so it was a matter of medication, and confronting what was going on mentally.
I agree about meds in terms of long term. Long term meds for anxiety somehow doesn't sit well with me, as I do think that they are just masking the root causes, but on the other hand, some poor people may have tried all the therapy/CBT/counselling in the world, and yet they are still anxious/panicking/depressed. so I think it is very subjective.
I have been on and off meds for 8 years and I did find that as soon as I came off them, or within a very short space of time, I had to go back on them as it felt like my world was collapsing again. How much of this was me telling myself that, so getting anxious again, or me actually becoming unwell again, I don't know. It just reached a point this year when I said, this is the year I stop meds. So far, so good.
I have bad days. I feel my anxiety rising and the panic, and my heart starts to go off on one again, but I confront it now, talk to myself mentally and it passes. I am resigned to doing this now.
I confronted and discussed a lot of triggers for my original depression and anxiety with the help of counselling years ago, and I would recommend it to anyone.
I think meds alone for years without uprooting the underlying causes is not good for anyone.:weep:
I know what causes me to be sad, it's lack of family support, understanding, lack of feeling loved, lack of being treated as a human being.
If one person is nice to me that can lift my mood for the rest of the day.
But the cause of depression is different for every one.
I'm so sorry to read your post Mishel....:weep:
Anytime you need a hug, support I/we are here for you.xxxxxxxxxxxxx:hugs::hugs::hugs::hugs::hugs::hu gs::hugs::hugs::hugs::hugs::hugs:
I would echo much of what Bill has said.
I've had personal experience of ADs in the 80's and 90's.
Complete disaster! Made things much worse . . . and I mean much!
Ever since then, I've sworn never to be tempted to agree to go down that route again.
As had already been said, ADs are aimed at depression . . . even though many claim to be 'anxiolytic' in their action . . . I don't believe a word of it.
I know everyone's physiology/biochemistry is different but I think (or rather believe) that many who say they've been helped by ADs are experiencing that placebo effect that's already been described.
I'm nobody to say whether people should or shouldn't try ADs . . . it's their choice, and clearly for some, benefits have been clear.
I turned to taichi, relaxtion tapes, postive thinking books, CBT amongst other things. With this range of tools in my kit bag, it's helped enormously over the last ten years.
Nevertheless, there have been times when the stress/anxiety has hit me harder than ususal (see my previous posts regarding work-related stress) and so on occassions, I have had cause to resort to one 2mg tablet of Diazepam and I've found it to be extremely useful . . . to get me over a really bad patch. I've taken about 16 in the last five months, which shows I only take them when really necessary.
I would recommend to anyone who finds themselves with anxiety / GAD etc, to consciously look at and implement all other options before going down the AD route.
Finally, this Forum is truly excellent and a great source of information, advice and comfort and so provides yet another tool in the kit bag.
I would echo much of what Bill has said.
I've had personal experience of ADs in the 80's and 90's.
Complete disaster! Made things much worse . . . and I mean much!
Ever since then, I've sworn never to be tempted to agree to go down that route again.
As had already been said, ADs are aimed at depression . . . even though many claim to be 'anxiolytic' in their action . . . I don't believe a word of it.
I know everyone's physiology/biochemistry is different but I think (or rather believe) that many who say they've been helped by ADs are experiencing that placebo effect that's already been described.
To be fair I think that whether they 'work' or not is purely subjective.
I do believe they work. They worked for me without question. I was prescribed Cipralex originally for depression, but the bigger problem for me was panic and anxiety, and I found it worked for me. I don't believe it was placebo effect. SSRI's increase the serotonin in the brain, full stop. To me this equals feeling more relaxed, happier and just better overall and I did. If someone with severe anxiety or depression feels better after taking meds is that placebo? I doubt it somehow. I can't believe that pure thoughts alone that the meds will help will make you well after being that mentally unwell.
I think that opinions about meds are just based on ones own experiences, and clearly if you have had bad ones, a negative opinion is formed, and likewise I have benefited so to me they are brill.:shrug:
Hey Debs, gotta agree with you there... I certainly don't think it's placebo. I believe they do alter brain chemistry. I've just gone back onto venlafaxine again (after a 3 month break) and my deep depression/exhaustion are already starting to lift. I actually hate taking meds, and am very health conscious, but I was becoming completely lost in a very dark place :( x
ElizabethJane
16-09-11, 21:03
My diagnosis was never just anxiety mostly severe depressive disorder. I am currently stable. I am also taking meds lithium and mirtazapine. I am in a better position now than I have ever been and I believe it is because of the meds. Without meds I would quickly become ill again. This has been tried during the eighties and nineties. I had three hospital admissions since 1993 none. I also have access to an excellent psychiatrist (private) I have come a long way I know that it scares me to think what I could have become. My life without meds and support would be nothing. Friends and relationships with people are everything. The meds have been for severe depression. Anxiety has had a part in this. I have had my fair share of different therapies too. EJ.
As Debs says, it's very subjective and as you found Debs, when nothing else appears to work and you reach a point where you need something, that's when I think meds can play their part. From then on, I think it's up to the individal if they decide they want to always take them or decide they want to attempt to develop ways to live without them. There's no right or wrong. It's whatever the individual feels happiest with to lead a "normal" life, and that's all that really matters.
I just find meds an interesting subject because of the various ways they can interact with an anxiety sufferer. Depression alone I feel is much more straightforward because I can understand how meds would work for depression but as for anxiety I honestly don't know if there is any acutal scientific reason how they would help people except to say that when people reach rock bottom they often do provide the "pick me up" needed.
I think the placebo effect happens in only "some cases" or it could play a part in all cases for all I know. However, I have found that meds can certainly confuse issues when someone wants to be free of them.
The only part that really makes sense to me regarding how meds work for anxiety is through my own experiences of them which is also held in keywords that you have posted above....
"SSRI's increase the serotonin in the brain, full stop. To me this equals feeling more relaxed, happier and just better overall and I did. If someone with severe anxiety or depression feels better after taking meds is that placebo? I doubt it somehow. I can't believe that pure thoughts alone that the meds will help will make you well after being that mentally unwell."
"my deep depression/exhaustion are already starting to lift."
"The meds have been for severe depression. Anxiety has had a part in this."
I am absolutely certain that when someone is suffering from Any form of depression, they Really should consider taking meds because that's what I believe they were designed for such as for post-natal depression.
Often though when people say they are feeling depressed, my feeling is the term "depression" is too generally used. From what I've learnt, Pure depression is totally different from feeling depressed. When someone suffers from pure depression they may not even be feeling depressed. Often no tearful emotion is involved. The symptoms can be totally different from what I call a "depressed state". Depression often has no obvious cause whereas a depressed state can be caused by certain factors such as anxiety brought on by stress.
I'm only mentioning the above because depression can take more than one form and so the type is a major factor when we talk about the use of meds.
I just think this is often an issue that causes confusion and upset because people with severe depression will rightly feel that they need meds whereas people with anxiety with a depressed state, the need isn't so obvious.
Going back to the quotes, unless there is any other scientific basis, the only way other than the placebo effect that I can see how meds work for anxiety is via the "happiness factor". If these meds were designed to lift depression then they will help someone with anxiety with a depressed state feel "happier" about life. If they feel happier, they will will more confident and stronger, and those are elements we need to combat anxiety. In this way I can see how meds could possibly help but for the effect to last long term I do feel whatever it is that is causing all the fear and stress in someones life also needs to be addressed.
Personally, every med I tried made me feel happier but the effects never lasted because the underlying stresses in my life weren't being addressed so they kept bringing me back down and my anxiety back up because I wasn't suffering from depression as such.
It's an interesting subject but I feel their need and effectiveness really depends on an individuals circumstances and what the person is actually suffering from so therefore each case has to be taken individually.:hugs:
I've realised today that I've totally oversimplified my previous post and didn't really make enough effort to put my views across in a way that provided a considered viewpoint.
Unfortunately, the fact is that I'm still 'angry' about the effect that ADs had on me.
I didn't have true (clinical) depression; it was more of an anxiety state that was mis-diagnosed at the time.
The original GP put me on Ativan, which gave me awful side effects and then withdrew them overnight and put me on a dose of another medication (which I can't remember the name of). Within 12 hours I was hallucinating, terrified and ended up being admitted to hospital. After a weekend in there, they agreed that the tablets (and sudden withdrawl of Ativan) had caused the exceptional symptoms.
I was then put on Anafranil, high dose. The side effects were awful and much worse than the original condition. I developed tremor, impotency, night frights, continual drowsiness . . . none of which I'd experienced before being started on meds. These went on for months until I said enough's enough.
In the 90's I was put on anafranil again (lower dose, 3 times a day) and within 24 hours I was experiencing grossly distorted side effects (including immense fear and panic). This was stopped and a week later and my anxiety stabilised . . . but I was then put on Seroxat . . . utter disaster, as again, I was climbing the walls with fear, panic, not to mention the physical symptoms. These were again stopped. Then on to Prozac . . . similar outcome . . . and that's when I refused to go any any further ADs.
I resorted to using/developing support from the 'tools' I've previously mentioned and things improved gradually.
When I do get over-stressed, this can develop into an anxiety state with me (physical and mental symptoms). I then try to get back to using my tools.
The diazepam, which as you know is not an AD, is brilliant for me at taking the edge off the heightened anxiety and fortunately, one always seems to be enough. The next time I feel the need to take one is often weeks away.
I do get the serotonin argument, but in all honesty, scientists don't really know how these things work and even less what causes the many side effects in different people. It's kind of what I call 'bucket chemistry'. All I know is that the pharmaceutical industry is making billions from these products, but many independent statistics that I've seen seem to always show that SSRIs are beneficial in less than around 40% of cases.
I hope I haven't given the impression that I'm saying that people should not take ADs . . . for as many have explained better than I, there are many different forms of depression and different people do respond differently to different forms of AD medication . . . many with beneficial effects. People make their own choices based on their own circumstances and that's how it should be.
The thread has asked for "your views" and these above are mine. I just hope I've not offended anyone as there's no intention at all to do so.
From various things I have read at this website, I get the feeling that it is a forum based in England. I read one post that said that doctors in England are very anti-medication. I live in the United States and I see a psychiatrist for medication. He has me on Zoloft for depression, 100 mg. I also take Xanax .25 mg 4/day for anxiety/panic. I take Seroquel 100 mg at bedtime. I also take Depakote (for bipolar) three 500 mg tablets, at bedtime. I had been doing very, very well on these medications until two weeks ago when I began having panic attacks again after years of having no panic. The medications I listed above were not strong enough to stop the panic attacks when they returned and in fact I am sitting here at my computer going through a pretty strong panic attack. I really feel such compassion for you. Panic attacks destroy lives. I am so heartsick that my panic attacks have returned. I pray for you. I hope that you will feel well soon.
God bless you.
Bethie
Rmh,
I didn't have true (clinical) depression; it was more of an anxiety state that was mis-diagnosed at the time.
I know it's of no consolation but I went through the same experiences as you regarding meds. When I first became really ill with anxiety I was getting suicidal thoughts, taking od's and "light" self-harming. I was referred to a psychiatrist who assumed I must have been suffering from clinical depression, despite the fact he knew all that was going on in my life and what I was having to cope with.
The doctor had already put me on diazepam without teling me it was addictive and then they tried various ad's such as seroxat, prozac, ciprimil, sertraline, dothiepin, amitriptilyne etc etc etc (forgive any spelling mistakes!). Some had very bad side-effects which made me feel much worse whereas others just improved my mood for a while before the anxiety came back.
When they felt they had tried them all, they then decided to give me ECT (Electro Convulsive Therapy/Treatment). If anyone wants to know what is involved, just watch the film "A Beautiful Mind". (this is a Nice part!:)) http://www.youtube.com/watch?v=5KzFjjMvmbY&feature=related I honestly didn't know at the time what they actually do to you and had I of known I'd have never agreed to it. I can't believe that in this so-called modern age that such a barbaric victorian treatment is still given to people. I guess it must work for some though otherwise I wouldn't have thought they'd still use it.:shrug:
Anyway, when that had no effect either they then decided "Oh right, it's evidently not clinical depression, it must be just anxiety" and promptly signed me off saying they couldn't do any more. I could have told them it was anxiety in the first place but since they knew my circumstances I just naturally assumed that what they were giving me was supposed to work for anxiety.
Anyway, I do empathise with you RMH and personally, I thought your original post was fine!
Bethie:hugs:
Yes, the forum is based in England, owned and run by our Lovely Caring Nic who has made it possible for all of us to meet more lovely people like yourself. One of the beauties of this site I find is that you get to know people from all around the globe who all suffer similar problems.
I can remember another USA visitor saying that they didn't know of a site like this in USA which I find quite amazing if that's true.
I'm not sure that British docs are anti-meds. I think it depends on who the doc is and what their background is. Some docs know more about stress/anxiety than others. In my experience, the more old school docs were more inclined on giving the old types of addictive meds and didn't believe in therapies because they didn't exist in their day. I don't think it's right to generalise about anything but the younger doctors "appear" to be more in favour of therapies but that could be a misconception.
Regarding your recent panic attacks I can think of more than one possible reason. Sometimes changing/adding meds can upset the balance, sometimes a med in itself can cause panics/anxiety, often it's a new stress/upset going on in your life unconnected to meds, often they can result due to just a bad day or specific episode.
If we can "forget" a panic attack, they don't come back unless the underlying stress still exists. Also, sometimes simply being given a med can provide the reassurance we need and that in itself can help us to "forget" a panic attack. There are alot of different possibilities but the main thing is they've stopped for you.:hugs:
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