“Should I lower my dosage after having a crippling panic attack?”

I am sorry you are feeling this way. It has long been known that we can treat anxiety and panic with medication or with psychotherapy...needless to say the best approach is to combine both approaches. First, you need to find a psychiatrist...please note, I said psychiatrist, not a counselor, not a therapist, a psychiatrist who is the unique professional who can fully comprehend the medical and psychological aspects of your problem. Once you find a psychiatrist you feel good about, i.e. you feel you can trust, you feel are actually listening when you speak, it then is time to unburden yourself about your life's stresses. It is also time to begin a regimen of medication designed for anxiety and panic. The best approach is to use a calming antidepressant such as Zoloft or Lexapro along with an anti-anxiety agent. I prefer Xanax in small doses...Yes I know Xanax has become a dirty word in today's world but it sill is the quickest and most complete way to provide you with relief. Of course, it is potentially addicting but if you are going to abuse a drug you would already have done so...a wise psychiatrist will consider your potential for substance abuse and observe carefully while treating your disorder. With the benefit of medication, your disorder will likely resolve rather quickly, i.e. two months...then the serious work takes place in therapy to understand the emotions and try to maintain them under control while withdrawing the medication. Remember: (l) Psychiatrist you can trust, (2) Medication relief with antidepressant and anti-anxiety and (3) Psychotherapy to gently provide the ability to withdraw the medicine. Good Luck!

I'm so sorry. You are being socially and medically misled. The reasons you have these feelings probably stem back to very early childhood, like a child whose mother left her to go to work when she was an infant or toddler. If so, you believed you were not enough to keep her, and you learned to believe that there is nothing you can count on and no one to trust. Beyond that you have learned to believe that you are not supposed to have these feelings. They are very disquieting. What you need to do is get those feelings out. That's the way evolution designed us. No one can successfully repress feelings. They have to leave he body. So anxiety should be cried (as in wailing), screamed for fear or raged out for betrayal or emotional injury. Grab a pillow. I keep one in my car at all times. Eventually, if you give the pillow your deepest most painful feelings (probably from buried memories), you will become current. You won't need medication. Warning: It is difficult to do this on medications so next time you think the medication isn't working, try it. Get out as much as you can, and then see how you feel.

This is outside my expertise. That said, it typically takes awhile for supplements to have an impact. Also, if you are taking any other MH meds, supplements can have a negative impact - see your medical doctor for advice.