I was diagnosed with GAD about 10 years ago and PTSD after surviving an assault a few years ago. My initial doctor also thought that I may have OCD, as well. I was on prozac and clonazapam for several years successfully enough. The initial "starting off" period was awful, and I had a lot of stomach issues due to the prozac. Once my body adjusted, I stayedon prozac 20 mg for a few years. I went off of the prozac after a few years, b/c I was mostly doing well.
My GAD flared up majorly this year, b/c I was working in a stressful situation. I asked my doctor to resume the prozac, b/c I thought it might help. I was doing fine fora few weeks, but then I started having self-harm thoughts, which was not something I've ever had. At first, my doc tried me on a lower dose, but the thoughts returned. She advised me to stop the meds immediately, which was causing me all sorts of issues.
I then began meeting with a pysch at my therapist's office. He put me on a gradually increasing dose of effexor, which was not terribly pleasant. I was having sore muscles and feeling lethargic with a slight tremor. My dose was up to 150. I was out of work on protected leave for about 2 months when I had to go back.
The effexor caused a severe reaction at work where my hands were tremoring uncontrollably and I couldn't stop shivering (jaw movement). I also developed trouble controlling my voice and facial movements. The irony is that the meds have made me feel much less anxious (no racing thoughts, dread, panic), while wreaking havoc on my body. Both of my doctors think that my body is sensitive to the meds, but my psych wants me to try 10 mg of paxil starting tomorrow. The tremors are very likely effexor related, b/c I never had this sort of stress reaction even during the PTSD.
Throughout all of this, I also take clonazapam, which helps me feel calm, but puts me to sleep. Not exactly ideal for work. I've heard paxil is generally tolerated better, and I'm hoping for a better outcome...