Hi there....I've been on and off medication (escitalopram 20mg currently on) for anxiety and panic attacks for 9 years. This past spurt of anxiety and panic has really thrown me. I was doing really well for the last 4 weeks or so, then for the last week I felt a bit 'off'. I woke up this morning in a state of panic and have been having back to back panic attacks this morning! I can't really understand why, and as you probably can understand, I am starting to feel like 'the medication isn't working' or 'it's different this time'. If anyone else has had a similar experience of having a panic attack while doing well on medication, and they can give me words of advice, I would appreciate it! Oh....and the CBT - does it help? I just started yesterday.