Nov 28, 2020 07:49PM jhl wrote:
Paxil will work very much like Lexapro. They are both SSRI's. Remeron is a different class of antidepressants and can actually increase anxiety so I'm not surprised it did not work. The most effective anti anxiety medications are the benzodiazepines and Buspirone. Physicians frown on starting benzodiazepines particularly in someone who is not using psychotherapy.
Do you know what your anxiety is related to? Cancer, COVID, family, state of the world??? If you can narrow down what is the root of your anxiety, you might be able to find someone better than your current psychiatrist. For example, if it is related to your cancer diagnosis & treatment, try getting in touch with a nurse navigator or a social worker within your cancer center. They might have resources to help you find a more appropriate provider. Psychologists have become very skilled in the past 8 months in helping put COVID & that state of our country/world in perspective.
That is not to say you might not benefit from an antidepressant. However, they will take at least 3 weeks to become fully effective. You might not 'feel' better right away. Rather, you will notice previous triggers don't rattle you like they used to. You must take it consistently and not on an as needed basis. Have you learned any methods to calm & center yourself when you are in an acute state of anxiety? There are lots of online resources to teach you.
Best of luck!