I have had panic attacks and generalized anxiety on and off since I was 19 (I'm now 40). From 19-29 I was so bad at times (usually 4-6 months every couple of years)that I was housebound...spent endless amounts of times calling ambulances and visiting emergency rooms thinking I was going insane or dying or both. Was thoroughly tested for all physical conditions that can cause anxiety and all negative. At 29 I was put on Effexor for my depression and anxiety. That worked really well, like nothing ever did before, and I was on it for 7 years. Had to stop taking it cold turkey because I lost my insurance for a bit and could no longer afford it. Started getting panic attacks back and ended up in the hospital last april because for three solid days i had severe panic and didnt sleep at all those whole three days. I was put on klonopin and remron (remron was horrible, it made my depression worse) but the klonopin worked pretty good for the panic attacks and anxiety in general. Then I was taken off the remron and switched to lexapro, which worked fairly well for my depression and a bit for anxiety. I had been doing so good until about a month or so ago...constant anxiety, peppered with severe panic attacks and the panic attacks make my depression worse. for the past week i have been lucky to get 2-4 hours of sleep a night. Obviously that makes my anxiety worse, and I keep freaking myself out thinking i will die if i dont sleep, or i get really frustrated that i cant sleep and that will make me more anxious. I've tried herbal tea, yoga, therapy, breathing exercises...just about everything, and still no sleep. Anybody had this same problem and found anything to help?