is a type of anxiety disorder and thyroid abnormalities (both hypo and hyperthyroidism
) can aggravate anxiety related problems. The sertraline
dose of 50mg, which you are taking for more than 10 years, is on the lower side. Consult your psychiatrist
who may consider an increase in dose and also advise you about other non pharmacological methods to overcome anxiety. Do regular deep breathing exercises for relaxation, which may help you in general as well as during 'panicky' situations. Your thyroid problem also needs to be addressed by a specialist.