:( I am sorry that you are going through this.
I see now that you are seeing a P-doc...so ignore that part of the post...but here is my last response to you that you may not have seen?
Perhaps intensive therapy and work such as used in CBT...worksheets, exercises/coping skills, ect...could help you find relief without the meds?
I hope that you find the answers that you need soon.
"Courage is not the abscence of fear, it is feeling afraid and doing it anyway!"
"Worrying does not empty tomorrow of its troubles...it empties today of its strength."
Corrie Ten Boom
Panic Syndrome recovery due to CBT