@melissa123 The alcohol use certainly complicates this picture of your daughter-in-law. I've known many people who have anxiety disorders or panic disorder who have used alcohol or drugs. I don't know if the alcohol/drug use came before the anxiety or the other way around. At this point that probably does not matter. What does matter is this is a very difficult decision that your daughter-in-law needs to make for herself. She needs help and it's easy to find the "right" help under these circumstances. But, I will tell you that I also know people who have been in recovery for alcohol for many years, are sober, and learned how to manage their anxiety. One of my friends said that she was in therapy for many years and kept "peeling back the layers of the onion" with her therapist.

Has your daughter-in-law been to residential rehab where co-occurring disorders of alcohol use and anxiety disorder are both treated?