Our expert says:
Anxiety, panic attacks and depression often occur together. In a complex situation like this, I do hope you are being treated by a Psychiatrist and not only a GP, as more experience and expertise in this field will be needed to manage this well.
Paxil is an antidepressant which can also be helpful in Anxiety and Panic - but out of the many ADs to choose from, only around 70 % of people are best suited by and respond best to, any one of them. So it may be necessary to try 2 or more, to find the one that works best with your unique brain chemistry.
The continuing suicidal ideas are of course unpleasant and a risk that can't be ignored.
Tranquilizers can indeed produce deprendency if taken for months, but though one needs to come of ADs gradually rather than suddenly, they fortunately don't really produce the sort of dependency that becomes a problem in its own right.
The AD meds do help many people, and prescribing them is not more profitable for the doctor that giving ECT ( which would probably add more to his income ).
ECT also does not ideally suit everyone, but is something many expert shrinks would consider in a situation such as you describe, and often can show a distinct improvement within a week or two. It might indeed be worth considering, but only after a proper discussion of these concerns with your psychiatrist. Some people find few side-effects with it, but a significant proportion of those who have it find some interference, temporarily, with short-term memory.
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