First, let me say, I appreciate having access to a forum such as this. I will begin by saying that I recognize that, by nature as I get older, I am an anxious person. I have, generally, done well at managing my anxiety and have actually thrived in a high pressure environment for the past 15 years (receiving several awards and promotions over this period. I am generally a happy, enthusiastic and energetic person. Last fall, I started feeling run down (I assumed it was stress-related. It had been an unprecendedly busy time at work, I was short-staffed and had not had any real time of for over 1 1/2 years). My doctor gave me Paxil, which I had responded to years earlier when I stopped drinking (at the same time I also stopped drinking coffee and using an over the counter medication (Sudafed) which, I have to admit I had become addicted to over a number of years). Anyways, after running blood tests, my doctor found out that I was iron deficient (although not yet anemic). She advised me that this was contributing to my apathetic mood, anxiety and lethargy. I continued the Paxil nonetheless. After three months, the Paxil was not having any effect at 30 mg (higher dose than I had been on before). I was switched to Prozac, to which I had an immediate, adverse emotional reaction. Effexor XR was next, and I was on it for 6 months. During this period, the dose was increased to 225 mg (and I was at 225 mg for 8 weeks). While on the Effexor, I found myself becoming emotionally blunted (apathetic and unmotivated), increasingly anxious and apprehensive (although I had had only one experience that even remotely ressembled a panic attack, I could not stop thinking about it and found myself becoming, embarrassingly enough,
somewhat agoraphobic). I felt that I could not continue on the Effexor (feels like 6 months of my life have been wasted), and told my doctor so. I started Celexa 7 days ago and, although I want to be positive, can't help but worry that it will not alleviate the anxiety and apprehension that were exacerbated by months I spent on Effexor XR and, most recently, by receiving my first Depo Provera treatment. I am doing relaxation exercises and will be starting NLP and TLT shortly. I just want to be me again (happy, carefree and not afraid). Am I making a mistake going on Celexa? Has it been an effective treatment for GAD? Although I have sometimes used Xanax in the past, my doctor keeps advising me that I should avoid using it and just get out there and do things. I have been out there doing things, but it is difficult when you constantly "what iffing" yourself. I kept trying to explain that, for me, going out without the "what if" tape playing works wonders. And, that is what the Xanax helps with, even if I only use it two or three times. I appareciate your time, and sorry for the long message. Thanks.