Four Panic Attacks in one week.. how do I move forward

You have really gone through the mill here and have followed th prescribed pathways. 

What happens, sometimes is we forget the coping techniques shown to us and this just pushes us back down to the position we found ourselves in during the beginning of our conditions

Go back and look at Rlaxation Techniques, Mindfulness is the recommended one at the time and if not already ask for a course to show you how to perform this technique.

There are two further techniques you could try,  in Mental Health they taught the Maxwell Technique, and before Minfulness the Alexander Technique. I used various parts of the latter techniques, I still use these ondition and can reduce my pulse rate if I feel stress.

You could also ask your GP, He may have copies of tapes that could help you.

If this is not the case ask your CPN

BOB

Oh dear, you really are having a bad time.

First of all, your dose of alprazolam (xanax) is useless. Could you ask your doctor to increase it to 2mg? Or to give you clonazepam (Klonopin) instead, because it lasts longer in your body.

I found both homeopathy and reflexology very helpful - also cranial osteopathy.

In fact, of the three, the cranial osteopathy was best. It was amazing. I kept having miscarriages and wwent to a cranial osteopath and she treated me twice, then asked me to see a colleague, who she thought would have some suggestions. So I did, and they treated me together. I felt amazing afterwards. I had just discovered that I was pregnant again, and this time I didn't lose my baby. She is now 23 years old!. I ended up with four children.

I hope this might help you.

Love Tess

Firstly, i agree with Tess.

That amount of Xanax is completely useless!

How long have you been on these three meds and why are you taking lyrica?

A issue could be that the ssri aren't helping and you have a imbalance of chemicals in the brain and might need a diff type. Sometimes you need to face the panic head on and say come at me instead of fearing what's to come. Be careful with that benzo it has a high possibility of addiction.