@eddie61
Which medications are you taking? It is possible that you may be having reactions to these meds that can sometimes make symptoms worse.

All the advice here is very helpful and thoughtful. Although , I know all too well, when the anxiety and panic are at such a high level, many of the grounding techniques are not effective. You are in a state that all you can really do is breathe and survive. And distraction is very difficult because the degree of restlessness does not allow the body to sit and relax; you have to be moving.

Just FYI, I have been struggling for 18 months and have had ongoing panic attacks 4-5 hours every morning for the past year.

And, yes, have invested in hundreds of hours of EMDR, trauma, and CBT therapy.

The hospital will likely just administer higher levels of sedatives and possibly add additional psych medications. I, unfortunately, have found no protocol to assist at this time with my situation.

But I understand your mindset; there have been many times that I felt I should go to The Hospital because we want to believe there is something that will help us, and we just want the anguish to stop.

Just wanted you to know that you are not alone and others are struggling with debilitating anxiety, panic, and depression. Heck, in the mornings, the distress is so extreme, I have trouble walking straight.

I had been a long term user of Paxil CR and after a surgery where spinal nerve anesthesia was used, everything changed like a switch going off with the panic and anxiety. Have no idea what reaction caused it, but something happened that triggered this trauma response in the nervous system and brain. Now, my psychiatrist has me off that and on Celexa after many attempts with various SNRI and SSRI medications. I think we a finished with medication trials at this point.

Hang in there. I know how hard it can be.

@eddie61 just thought of something else , actually a couple, just be patient as i out in the words. worry stone only really helped me when walking and my, at home anxiety and depression were through the roof. i even after almost two years of being afraid to come out of my room was having a conversation with a councilor and what came out of my mouth was shocking to both my guardians. they both knew of my symptoms by now but did not know they both were part of the problem until i explained that just a harsh word from either put me over the top that i wanted to die sooner or go to a nursing home or give up and run away which after my meds ran out so would i. but they both had a hand in my anxiety and depression and how i coped with each morning.

@eddie61
Have you looked into the MAOI phenelzine/Nardil? It's considered one of the most effective ADs available for anxiety & panic disorder. The food restriction and drug interaction concerns are often overstated. There are some things to keep in mind while taking an MAOI, but these aren't cumbersome. I'm currently taking 60 mg Parnate daily.