I know that sounds crazy, but I was seriously hoping to have some answers. I went to my primary care doctor last week for chest pains, pressure, and heart palpitations. She did an EKG, which was normal. Of course that was a relief, but when she wanted to do a bunch of lab tests I was sort of hoping they would find something wrong. Nothing terrible, of course, but I was hoping mainly to find out there was a physical cause to this horrible anxiety I have been having the last couple of years. I have always been the nervous type, but since I hit 40 two years ago, I can barely manage. This anxiety is ten times worse than it's ever been, and I find it incredibly difficult to work through it. I actually wake up in the morning and have a panic attack straight away. I don't think it's work related, although my job does certainly cause a bit of anxiety. i was having these panic attacks during the summer time too, when my stress was at an all time low. So I was sort of hoping maybe my thyroid would be messed up, and I could take a little pill and it would cure everything. Or perhaps my hormones were off and that would explain things. Nope, I am totally 100% where I should be. These raging panic attacks are still a mystery, and impossible to treat. I have now tried every single SSRI that exists, and they all either make my bipolar much worse, or they actually increase my anxiety. My psychiatrist was going to try me out on a Triclylic antidepressants, but I found out from my pharmacy that tricylics mixed with anti psychotics can be incredibly dangerous. Now I'm back at square one. My psychiatrist is stumped as to what to do next. He told me he has to think about what to do next and he will "get back to me." That's not what I want to hear at all whatsoever. If I was retirement age I could just stop working and pop Xanax like candy, as that's the only pill I have found so far to be helpful. Since I have to work, drive, and raise my kids, Xanax isn't an option. So what next? I'm feeling defeated and like I will be stuck like this forever.