My mom's on 30 mg of mirtazpne for depression/anxiety and insomnia. She was ok for about 20 days but past few days, her really bad anxiety attacks have started up again. bad! we have an appt with her doc friday and ive read that this spike in anxiety happens sometimes. just curious about others experiences. she's at her wits end and ready to give up. she's tried so many meds. went inpatient to get weaned off of them and was happy she is only one this one med now. but she's ready to be better. past few days, she is wobbly, cant keep her eyes open, can barely keep her head up, she's super lethargic and feels like she's shaking internally. thankfully she doesnt have the outward body tremors she had with the other meds.