Hello I had been going through a lot from past two years, I do not know whats wrong but I had sudden palpitations, the first thing when I wake up is in a state of panic and anxiety. I have to rush to bathroom to defecate, I consulted a doctor and he suggested me its chemical imbalance and he put me on serta 50 & nexito forte twice daily, added nortriptyline 25 mg once daily, then added modalert 200 to keep me awake during the day, its crazy I am 30, I have two kids and a job, I had not been myself since taking these medications and its not improved, I sulked in and now I have fear resting deep in me regarding losing my job, death what will happen after death, will I have a heart attack or cancer or I do not know. When I see someone casually my first thought without me thinking is about his death, how will his family respond to loss of a near one. If its depression, health anxiety, panic attacks, stress or any other mental disorder it should had been improved by now. I smoke from a long time and its not so easy to quit every time I visit I am asked to quit smoking, but will that change my condition. Is there anyone out there who could offer me a helping hand not as a doctor but as friend someone who really cares that I am the bread earner for my family. I do not want to take these medications forever and ever, live with a confused, dizzy state of mind and weight gain affecting my work life balance. I am on sertraline 50 twice a day escitalopram 20 mg & clonazepam 1 mg - twice a day nortriptyline - 25 mg once day flupentixol - once a day zolfresh 10 - once daily. Modafinil -200 mg once daily.