Sorry to hear about the panic attacks and your shoulder . . .
Do you have an ideas what might be triggering the anxiety? Would it have to do with worries about being on worker comp? Going back to work? It's good that the meds have had an effect . . . often, not always, meds address the symptoms rather than the cause and that's really, for me, where my anxiety is best managed. If I know the triggers and I can manage them, then the anxiety is lessened. Each person reacts to meds and other therapies in different ways and the trick is to find what is right for you . . . I know that you are seeing a doc in order to get the meds, but are you seeing a counselor who can help guide you to a meaningful way to manage your anxiety? A good therapist (not necessarily a psychiatrist) can work with you to figure out the triggers and then to help you address them.
If you have been ff work and have a lot of time on your hands, this is particularly problematic because we (those of us with anxiety) can tend to focus on the anxiety and then it gets more intense. Without doing damage to your shoulder, are there things that you can do to keep yourself busy and give yourself a sense of accomplishment? It doesn't have to be big projects . . . simple things such as cleaning out a sock drawer, making a brief journal entry listing the things you did. . . are you able to go for even a brief walk or chat on the telephone or have a coffee with a friend? I have found mindfulness to be particularly helpful although it does take a bit of time to get committed to doing it but it may be something to think about . . . and come here often . . . loads of people have great ideas . . . some may not work for you, but others may and if you can, try to figure out what the triggers are and if you also can see a counselor to help you deal with your triggers, this may help also . . . please let us know how you are doing . . . take care, kc p.s. I cannot guarantee that anxiety will go away, but my panic attacks and anxiety are greatly reduced . . . . and when I feel that they are returning, that is usually a signal that I have to figure out what is really going on with me and deal with it but if you keep working at it, you will find that your situation will improve greatly . . . remember though it is a process rather than a one time event but you know where we are if we can do anything to help you . . .take care, kc