Hello! 

In the spring I started developing anxiety and panic attacks after as especially vicious seizure (I have epilepsy) one morning. After that I became scared of going to sleep as I used to have most of my seizures "upon waking". I don't know why I didn't have this fear in the 20 years of having seizures before but for some reason it set something off.

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I haven't had a major seizure since, but I still can't sleep. I will lay in bed until I absolutely cannot be awake anymore. This leads to some nights where I don't sleep at all and then the next day sleep 15+ hours or lay in bed till 4 am, have a panic attack and then pass out. I am thankfully off work but I need to return soon and need to have this under control.

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Last month my GP suggested it might be time to look at medication, even though I am already on multiple for my epilepsy so I am hesitant to add more. I am already in therapy which helps during the day, but not 3 am me. She gave me the choice between Lexapro and Seroquel which I would go on for 6 months or so to try and "break the cycle", but I don't know which one to pick. Do either of them make you sleepy as well as help with the anxiety? 

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If it's relevant, I am also on Briveracetam, Lamictal, and Ativan as needed for seizures.

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TL;DR

Seroquel vs Lexapro for someone who has anxiety/panic attacks about sleeping.