Panic Attack/Anxiety

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New Member

Date Joined Jun 2008
Total Posts : 8
   Posted 6/30/2008 10:59 AM (GMT -6)   
I have been dealing with Generalized Anxiety and Panic Attacks for over 10 years now (I'm 35)

I am currently on Cybalta/Xanax XR/and Geodone

Lately, (along with my anticipatory anxiety), I have been getting Anticipatory PANIC ATTACKS. I was always under the impression that panic Attacks were "random", but if I know I am going to be somewhere uncomfortable, (like a job interview) I will get my classic Panic Attack (sweating profusely, trouble swallowing, feeling distant, feeling like my heart will explode)

Things were under control for a while, it possible my condition is getting worse?????????

Any help would be much appreciated,

Elite Member

Date Joined Jan 2005
Total Posts : 24909
   Posted 6/30/2008 11:51 AM (GMT -6)   
HI Steve and Welcome to the HW family..........
I have not really ran into too many ppl that get this other than me and now.......... you
There very well may be others though so we shall see if they post that they go thru this as well

IMHO yes it is very possible
I have had A/P for well over 30 plus years and I did have extreme Anticipatory Anxiety.........
Every day I would wake up with the feeling of DREAD and what was going to go wrong today
Never looking at the glass half full .........always half empty

I have done Cognitive behavioural Therapy ( yes I was a big skeptic lol) and for me it has helped
I do still have the occasional AA panic attack....
Mostly due to my siblings and what they are pulling since parents have passed away
As well as some serious health issues I am dealing with at the present

Now how I am able to get thru the majority of those is with breathing techniques or I have to take a valium ...
AS well my HW fa,ily DOES help in so many ways as they DO know what I am going thru what I have gone thru
Where I am or where I have been ya know
YOU are never alone for sure on this site( forum,)
Either way I do get thru them and I know if perhaps you started journalling some of these you may find what is tiggering them ......
I did and quite surprising to me it was 99% my son and DIL

I honestly believe that you are not gettting worse but that your A/P may be taking a different turn
This is the sneakiest of all DD IMHO and it has to be fought with ALL you have

Know that I am speaking from my experiences ..........

I really DO hope you will stick around introduce yourself in the "I am " thread and get to know us and us you
THIS is really a great place and the ppl could not be better,empathy,caring,and understanding
That is also from my heart Steve

if you have any questions plz dont hesitate to email me or the other mods for Anxiety/ Panic ..........LYN

  DX With Crohns,Pyoderma Gangrenosum,Anxiety/Panic,Fibro & Other DD
Moderator @ Anxiety Panic..Alzheimer's..Co mod @ Crohns
                               FIGHT the FIGHT with all YOU HAVE
         Be Well All and Stay With Us We are Here To Help

Anxious soul
Regular Member

Date Joined Mar 2008
Total Posts : 69
   Posted 6/30/2008 2:45 PM (GMT -6)   
I actually had more anticipatory panic attacks than I had anticipatory anxiety. I would wake every morning with the DREAD feeling and almost had it timed to when the panic attack would start, pretty much as soon as my feet hit the floor LOL. Soooo, I began a routine of putting my ativan dose by the bed, waking up a half hour before I needed to and popping the med so I could sleep until it kicked in. I see that you are taking an extended release benzo. Would it be possible to change the time of day that you take it?

New Member

Date Joined Jun 2008
Total Posts : 8
   Posted 6/30/2008 5:56 PM (GMT -6)   
I take my Xanax XR first thing in the morning, but it's as if (out of no where) it doesn't work anymore, when it always did.................

How is Ativan compared to a Benzo? (is it a benzo?)

I have a doc appointment on 7/2 so we will be discussing changing some meds up...............

As always thanks for any information....................

Veteran Member

Date Joined Jul 2005
Total Posts : 1952
   Posted 6/30/2008 7:19 PM (GMT -6)   
Hi! I don't have any advice about the anticipatory panic. I hope your doctor's appointment on the 2nd brings some answers.

However, I do know that ativan is a benzodiazepine. I take it on occasion when my anxiety spikes badly. It's fast-acting, and I have had some good success on it. I take only small doses (0.25 mg at a time) for panic attacks. It does settle them down quickly for me. Earlier this year, I went through a period of taking it 2-3 times a day and got some "rebound anxiety" when I didn't need to take so much again. That's the only down side I've experienced.

Others here may take it regularly and have some better information for you.


Anxious soul
Regular Member

Date Joined Mar 2008
Total Posts : 69
   Posted 7/1/2008 4:10 PM (GMT -6)   
Percy is correct, Ativan is a fast acting benzo. It takes 20-30 minutes to relieve existing anxiety or panic attacks. It can be taken daily or situationally (as needed) to avoid the onset of attacks. It has a short half life, 6 hours from what I remember, which I liked as I could tailor it to my needs vs an XR which is contiually releasing the med into your system throughout the day. Some examples with ME: I took a low dose .25 in the morning on a daily basis to delete anticipatory anxiety/PAs because if I could get past that part of the day the rest of the day went fine for me without needing more meds going into my system. If I wanted to have an alcohalic beverage in the evening I didn't sweat the load as the half life of the drug was so diminished they didn't play nasty with one another. When I took it on an as needed basis, I took it only if I felt I could not get passed the attack with any other med free methods. In this scenerio, I still only had to have a limited amount of meds in my system for a limited time. If you need this type of med for the entire day, it can be taken at 6 hour intervals. So what I am saying here is Ativan vs Xanax XR, gives the patient more control over the level of meds going into their bodies IMO. I am no doctor, and it is always best to discuss this with your doctor. Just some ideas to bring into your dr appt tomorrow. Good luck!


Elite Member

Date Joined Apr 2007
Total Posts : 32602
   Posted 7/1/2008 4:48 PM (GMT -6)   

Hello and Welcome to HW.  This is Kitt.

I have anticipatory anxiety but it waxes and wans.  Sometimes it is fine and others the fear is  unbearable.  I use Valium for it's long acting  effects.

The 1st panic episode or symptoms  generate anticipatory anxiety for more attacks hightening your sense of vulnerability and chronic stress.

The anticipation of more unpredictable attacks cause you to become hypervigilant about your bodily changes.  

The attention is focused on scanning the body for cues that may warn you of the possiblility of another attack.  

My first experience with A & P start with a major Panic attack that just struck me out of no where.  It scared me and also put me into therapy as I had know idea what happened and why.

As Lyn has pointed out so wisely, therapy is good for gaining control over the anticipatory anxiety.  I am glad you are seeing your Phydisian tomorrow.

Keep posting and know we care.

Again a warm welcome



Kitt, Moderator: Anxiety, Panic & Depression 
*~* *~*
Not a mental health professional of any kind
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~

New Member

Date Joined Jun 2008
Total Posts : 8
   Posted 7/1/2008 5:55 PM (GMT -6)   
Thanks all for your great advice......................I will let you know how the Doc appointment goes tomorrow..................

I couldn't feel any worse than I do right now - I feel like I'm crawling out of my skin..................
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