Hello Doctor,
I have suffered from depression and anxiety pretty much all of my life. Lately, the anxiety has gotten the best of me, daily panic attack etc. If things are unbearable I take a small amount of xanax, I don't like to, though because it makes me sleepy and I do have problems with fatigue sometimes. It helps manage the anxiety somewhat, but having this anxiety condition brings back the depression. I don't know which one is worse, but the depression is less debilitating. (The anxiety can make me terrified to leave my house at its worst) Anyway, I had to get through the holidays and could not do it in a Xanax haze. I had some Provigil which I knew would give me mental clarity and energy and help with the depression somewhat but I feared it would make my anxiety worse. It seems to have really lifted my spirits and made me less anxious, however. I haven't paniced. I can get things done. I'm a functional human being. I just don't really know if I'm just coming out of the worst of and episode of anxiety and depression and the Provigil has no connection to making me functional, less anxious, less fearful of normal, nonthreatening situations? I haven't felt like this in a long time. I guess my question is, having been on many medications for depression, nothing has worked as well and as quickly as Provigil seems to be working. Is Provigil really as effective for depression as it seems, and is it possible that it's helping with anxiety also?