I have panic disorder with agoraphobia. I have been prescribed Paxil, Prozac, & Ativan at different times over the past 8 years. I was in cognitive-behavior therapy for over a year, which helped my understanding, but of course, doesn't change my biology, or physical sensations associated with anxiety. Today, my doctor decided I should try effexor since the latest attempt (PaxilCR) doesn't seem to be working properly. (OK, fine, but....)
My question is this; Everything I read about panic disorder, or panic attacks, anxiety, etc says that a panic attack comes on, peaks, and wanes. If that were true for me, I think I would be able to handle it. My panic attacks last for days, or even weeks, coming in powerful waves, but when the waves recede, I am left with this CONSTANT heightened PHYSICAL (I can't stress enough, I am a very laid back person with few worries, my issues are ALL PHYSICAL/ ADRENALINE-type sensations) anxiety characterized by derealization, jitteriness, dizzy/lightheadedness, excess nervous energy, and such. Nothing I read about describes this....the closest thing is generalized anxiety, but this is always described as constant worry/stress (mental).
I have been examined by an endocrinologist, who said that although I match exactly the profile for hyperthyroidism, and have elevated blood metanepherine levels, he couldn't definitively diagnose a thyroid or adrenal condition (my TSH and T4 always come back either normal or borderline), and thus couldn't treat me.
I am desperate to know if there is some sort of hormonal (cortisol levels came back ok), or chemical (aside from the seratonin, obviously) BIOLOGICAL root that is TREATABLE. I realize that the agoraphobia means that I am still bound to be pre-disposed to working myself into a panic attack when faced with triggers, but those things I can understand, so I can deal with them. PLEASE HELP ME!!!!!