I had a physical this week and blood pressure was better 118/88 although I have still got head pressure it has lessened. I have reduced my alcohol intake to almost none, taken up walking/jogging a few times a week, reduced my on screen computer time, trying to wear my reading glasses less, taking a multi-vitamin and trying to increase my water consumption. The doctor prescribed Celexa for my panic attacks that I occasionally have while sleeping but I am uncomfortable with the list of side effects. The doctor thought that if the medication reduces my anxiety or stress then maybe the head pressure will continue to subside. I have never had any kind of epidural or injection, plus don't have vertigo, so I question the CSF leak as possible cause. What causes a CSF leak? Also does anyone have experience with Celexa?