I have taken three srri's and I will probably get a lot of negative feed back for this, but I can not tell a lie. My opinion is that srri's lean toward depression and OCD. I take Celexa now, not sure if it does anything along with my other stronger meds but I am stable and I am not going to go off to find out. My own personal opinion based on taking what I have and reading a few thousand posts and I have said this before is:
If you have depression for no specific reason and this is the cause of anxiety problems, then the answer is probably an srri.
If you have panic attacks and depression from the attacks, the depression is justifiable and the answer is a benzo.
I am not saying that srri's do not help a little for anxiety problems, but when it becomes panic attacks, then I don't think they have the strength or chemical makeup to over come the disorder. They are primarily the class in which they are in "anti-depressants.
I do believe that having phobias, depression and panic attacks, that an srri and benzo combination might be used and is probably a good idea but not the srri alone.
Therapy is always an important factor. It gives you goals of treating and overcoming your problems as well as having neutral help to guide you in accepting that you have a problem. Denial is the hardest thing to beat and is the first step toward getting your life back on track. The first thing everyone, including me, feels better, they want to be drug free. On the other hand, as soon as they get their first side effects from a new drug they want to go off of it, thinking that it is making them worse, not helping them. The drug has not had time to work and the side effects have not passed yet. I have done all of the above, so I am no different, but these are the main issues that cause further problems.
After many years of this and now not being not able to work at all, I still think when I am having a good day that I can go back to work and do everything that I used to. Sooner or later that same day, I come to my senses and realize I am in denial again. All of these disorders are a vicious cycle and the more you learn for yourself, the better to cope with them.
The answer to all of your questions is to ask those who take the medications, research them yourselves and don't let a Doctor have complete control of your disorder if you don't trust their judgement. Ask questions about the medications that they are giving you and don't leave without a proper answer. To many Doctors think, "well if this works for one disorder, then it will work for all". Unfortunately, that is what they are told when they are given samples by the drug reps.
This really doesn't sound right, but it is what I mean:
Don't become a beta tester, be a professional user.
Best wishes,
Sickman