hiya im new here just got brave enough to register! basically i have been on 10mg citalopram for a month now for panic attacks and aniexty and depression things seemed to be improving abit but the doctor suggested i go up to 20mg as i was still abit panicky so 5 days ago i went up to 20mg and it seems to have got worse ! scary thoughts and feel alot more down is this usual when upping a dosage any thoughts would be sooo helpful