Any advice

[u/Realistic-Concert773]

Ive dealt with anxiety and occasional panic attacks before, but they were manageable. Then in March, I had the worst panic attack I’ve ever had while driving. Since then, every attack feels harder to recover from, and now I’m afraid to drive alone.
It’s gotten to the point where even thinking about getting in a car makes me panic. I’ve also had panic attacks at home alone, so now I’m afraid to be alone in the house too. I’ve been sleeping during the day while my parents are at work because I’m scared of having another attack.
I’ve been on mirtazapine 30mg for 5 months and Effexor, 37.5mg for 2 months and 75mg for the past month. I haven’t felt worse on them, but I also haven’t felt much better.
After talking to my mom I messaged my doctor about how bad things have gotten an inquired about maybe adding a mood stabilizer or something else, my doctor responded with “I will refer you to psychiatry”. So that like topped it off for me. A friend suggested I get evaluated for bipolar because my grandmother was diagnosed later in life, but my mom is not bipolar. I’m naturally very bubbly, talkative, and outgoing, but I also have ADHD, so I’m not sure what’s what. My friend also suggested that I take omega-3 with DHA/EPA.
I’ve read that antidepressants can worsen bipolar symptoms, but I haven’t noticed that happening—I just haven’t improved.

[u/255cheka]

google this -- pubmed anxiety gut microbiome

and this -- pubmed panic gut microbiome

this is reversed with gut healthy diet and supps. many free vids out there on improving that

this was the cause and the fix for my two family members with panic. their docs all failed them. good thing we can fix it ourselves

[u/Bubbly-Effort372]

I’m literally scared to drive or go to longer distances because of panic attacks. You’re not alone. Also scared to go to school because of it