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Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
what treatment have you tried Louise?
Phone calls are quite pricey but I can offer one
we can continue here chatting if you like
ok lets chat here
how can I help?
have you done counseling and tried meds?
yes, I read but I don't know how I can help you
what meds have you tried?
what dose of sertraline?
Hello. The moderator has opened the question again.
The other expert asked whether you have tried counseling and meds and you replied yes, but it is unclear whether the yes was specifically regarding the medicines. Or was it also referring to the counseling?
If you have had counseling, do you know what type of counseling was tried?
I had asked for clarification about whether counseling has been done and if so, what type of counseling. Since I have not heard back, I will first comment upon options for medicines.
When treating anxiety/panic or depression, one of the primary considerations when medicines have not helped is to try different medicines that are in a different chemical class. Given what you have already tried, it may help to use a tricyclic antidepressant, such as amitrptyline. Bupropion is also in a unique chemical class, but is usually better for depression than for anxiety. There also is another medicine that works primarily for anxiety, called buspirone.