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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]How often are the panic attacks? If often and the PTSD is pretty bad, I would recommend Lamictal.

A lot of doctors will go to SSRI’s but in my opinion unless they are extremely anxious or extremely depressed, the side effects and how long they take to titre up in your system don’t make them worth it for panics attacks/PTSD.

Lamictal is a mood stabilizer and is very mild. You have to start with a low dose and move up every week to a slightly increased dose to prevent the side effect of rash. But when I tell you that medication can do wonders with no side effects like weight gain, nausea, sweats, etc… My daughter took it for anxiety/PTSD and it was amazing. Once a day at bedtime. I could see changes within 7-10 days even with a low dose. [/quote]

This is really upside down. Lamictal is a much heavier duty drug than SSRIs. No competent doctor would prescribe it as a first step for panic or anxiety

Not sure what SSRI side effects OP fears but you can start at a very low dose and take an Ativan for the first few days.

As for therapy, treating panic attacks is the bread and butter of therapists specializing in anxiety. The main thing is to find a specialist. [/quote]

How old are you? This is old school advice. Kids should not be on Ativan. It is highly addicting and it just snows you. Doesn’t retrain the chemicals in the brain

SSRI’s take 4-6 weeks to even start working, have a ton of negative symptoms, and long terms issues with use. weight gain and sexual function issues are two of the top side effects. Neither will help a teens depression or anxiety and will make it worse. Some may stop abruptly. Also bad.

There are many new options.

Prazosin or Hydroxine for sleep

Buspar, Propolanol, Lamictal, and Clonidine are all good options too. A lot of meds are used off label and have less side effects than SSRI’s.

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It is very common to prescribe Ativan to get over some of the initial symptoms of starting an SSRI. like 4-5 days, not long term. Since OP claims to be worried about side effects, it is worth asking about.

Your other list of meds is pretty random and in no way superior to SSRIs in terms of side effects. SSRIs are very, very well studied and effective for anxiety, which is why doctors start with an SSRI. Also it does not take 4-6 weeks for anxiety to start being effective. You don’t have to be on the SSRI forever.

Maybe OP’s kid truly has a medical contraindication to SSRIs (not sure) but that is very rare and not the reason to make ridiculous claims about them.

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Some of the meds that the PP listed were meds the doctor told me would be considerations if we decided to do medication.

[/quote]

Ok. It’s not standard of care though. I’d get a second opinion. [/quote]

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