I'm already on a whole host of medications already, most of which I'm not sure are helping. I am just wondering if there's anyone who suffers from severe panic disorder who can recommend me anything that might help (other than benzos). My psychiatrist is a bit benzo phobic (especially after learning that I had a past history of alcoholism) and has only given me .5 mg of klonopin a day to deal with my constant GAD and panic disorder symptoms. I'm hoping next time I see him I can convince him to increase the dose (I think he said he only prescribes as much as 2mg per day for any of his patients), since I've been hospitalized a few times since I last saw him because of severe chest pain and very elevated blood pressure (something like 190/100 or so) related to panic attacks.
I seem to be a bit averse to SSRIs, like they aggravate my anxiety instead of helping it, especially at high doses, but I have not tried other types of antidepressants, besides the Brintellix that I am on, which I have seriously been considering discontinuing. It seems to help with my depression but make anxiety worse, just like every other antidepressant I've tried.
I'm already taking buspirone and gabapentin and they only seem to be helping somewhat. Do I have any other options that could possibly help? I don't care about being majorly sedated at this point, I just want these horrible feelings to go away. I've been wondering about olanzapine, because I read that in some studies it has helped with panic disoder/GAD. However, I'm already on 600mg daily of seroquel/quetiapine for sleep and I am overweight, and would rather not go the antipsychotic route unless absolutely necessary.
Anyway, is there anything else worth trying? I'm really not sure what to do about this and I'm at my wits end. Thanks in advance to anyone who has anything to offer.