Hi Dan, and welcome to Anxiety Zone! My name is Chuck, and I am one of the Global Moderators here on the site.
You are now a member of our community, where you will find support and advice from other members in similar situations. It's always nice to find someone else who understands, and to know you're not alone.
We have sections in the forum that address specific concerns, so feel free to post or start a new topic in the section that best fits your situation. Feel free to explore the rest of the forum. You may find the other topics helpful, and you may be able to offer advice or support to someone else.
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Dan, I realize that you are new to the site, and this is your first post, so I don't have much to go on in regard to your history. I do want to share with you, some food for thought.
My initial problem with anxiety/panic disorder and panic attacks, started some 4-5 years ago. I was also placed on 30 mg of Remeron. This anti-depressant worked extremely well for me, to a point that I returned to 100% of my former self. Then, a year ago, I started having breakthrough panic attack. These slowly progressed until I had 24/7 anxiety.
What occurred is that the Remeron had stopped working for me. Remeron has a major history for just up and "pooping-out" on people, and I don't mean simple referring to anti-depressants, but to "all" medications. With what you are demonstrating, I have to wonder if the Remeron has become ineffective for you as well.
My Psychiatrist tried upping my Remeron dose to the maximum of 45 mg, and it still did nothing. She elected to put me on Celexa, A SSRI anti-depressant. I have been on the Celexa for a little over 5 months now, I would would say that I am 90% better, with many windows of feeling completely normal.
I highly suggest you see your physician, or even better, make an appointment to see a psychiatrist. Psychiatrists are medical doctors that specialize in mental health, and they are the experts with anti-depressant, medication therapy.
Again, welcome to Anxiety Zone, Dan. The very best to you!... Chuck