Hi all, 

I suffer from Generalized anxiety disorder, panic disorder, suspected PTSD and probably every other disorder on the anxiety spectrum. I've tried CBT 3 times, counselling and meditation unsuccessful.

So basically I have been on the SSRI merry-go-round for over a decade now. I have tried pretty much every one of the common ones. Although they do help, to a point, in fact they have helped massively and if it wasn't that my issues are so severe i suspect I'd be completely cured. 

But every few months it's like they stop working and I end up having daily panic and anxiety attacks. I have an appointment tomorrow at the doctor's to discuss changes or adjuncts as I asked for Beta blockers and they were not keen due to my asthma. 

I have also tried imipramine and Mirtazapine. 

Could anyone suggest something I should try? I'm prone to insomnia which is heavily tied in with the anxiety so I would like to avoid that or avoid caring about it. I'm on paroxetine and promazine at the moment.