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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Panic Attack Along With Anxiety And Depression Be Treated?

Hi, I’ve been diagnosed with panic disorder, anxiety and depression. I’ve had this for 15 years. My current dr has just put me on 20mg celexa with 50mg seroquel. I use to be on celexa and it helped me a lot. The seroquel is new to me and I tried it one night last week and it made me extremely tired, and in the middle of the night I had liver pain which concerned me. I haven’t taken anymore seroquel, just my celexa. Back in 2011 I had elevated liver enzymes , drs found it in my blood test and didn’t know why I had that. I use to have liver tenderness back then but it went away. I’m concerned with the seroquel of the liver pain and how tired it made me, will the side effects taper off and should I try it again?? Also I do like the celexa but my anxiety has been so high to where I’ve been just staying at home mostly and don’t feel like going out or socializing.
Wed, 13 Jun 2018
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Psychologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
Depression results from panic disorder most often. Panic disorder is always due to an underlying anxiety disorder. Therefore treatment should be the underlying cause, that is anxiety. The therapist should know the basic reason for the anxiety. Treating anxiety should treat and cure the panic and depression problems.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. K. V. Anand
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How Can Panic Attack Along With Anxiety And Depression Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Depression results from panic disorder most often. Panic disorder is always due to an underlying anxiety disorder. Therefore treatment should be the underlying cause, that is anxiety. The therapist should know the basic reason for the anxiety. Treating anxiety should treat and cure the panic and depression problems. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand