I am going monthly to PM .I am also selfemployed and my job can be considered high stress.Anymore I just can't seem to handle the mental part.Shaking hands,fast heart rate,lack of concentration and sometimes even just wanting to sit down and cry.I take 50mcg duragesic,tramadol,robaxin,zoloft and lunesta.can this cocktail do this to a person or am I going to have to find a shrink as well?