I am 24 years old talking escitalopram�m 10 mg and etizolam 0.5 mg for a year. And also clonazepam 0.5 mg in case of panic attack. I started reducing dose but symptoms of anxiety again come. Should I continue the medicine in same dose because I am fear about taking etizolam dependence and tolerance.

Dr. Nk TakPsychiatrist15yrs exp

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Hi! Lybrate user, if you have anxiety symptoms take it for 3 to 4 weeks then sos then stop ,no dependency will be occured. Reconsult your psychiatrist ,if you have still symptoms.  

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Mr. Saul PereiraPsychologist50yrs exp

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More than considering your dosage and lowering it, I suggest that you seek the help of a counselor and develop some skills and tools to tackle life under your condition. The medication is very suitable for you but you are not developing any life skills which are essential to the reduction of medication. Anxiety has all to do with fear and your inability (or so you would tend to think) to handle the same. Fear is based on looking too much into the future and imagining things that usually do not tend to happen (usually 90% of your fears will not happen). You need to change your perception of the fearful stimulus then you can change your response to the fear. The first one is the best and will preempt the need for the second. If you are already far gone into the reaction mode, then you need both responses to counter the attack. The way we see things in life (like half empty or half full glass) is very dependent on our attitude. Attitude may have developed over many years but fortunately can change in a matter of sustained choices made and acted upon now. Accordingly, you choose to see things as either threatening or as an opportunity. The opportunist will be positive and work with the situation to make good out of it. The individual who sees it as threatening, will, out of fear, try to avoid/run away from the situation or react with anxiety. Yes, self-belief does impact it too, but you can see that prior to that, the perception will tarnish the belief system too. Here, you can see that all the resolution lies in just changing your perception/attitude, even if it is against odds. Changing your response, despite the perception, is building up your reserves and resources to handle any contingency that life throws up at you. And life throws up situations quite regularly and heavily. For this you need to develop a fit mind and body: the former, by meditation and mind exercises; and the latter, by exercises and proper diet. You need good sleep too. Included in the development of the mind is the handling of emotions, in your case, fear. These changes will give you a handle on life and your perceptions and responses. Prayer is really powerful if you are a spiritual person. Repeat some personally framed affirmations that are geared to calming you down and building confidence. Do a personality development course too. Anything that develops you personally will be of great assistance in building resilience.  

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