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Rachel Weinstein , LCSW
Clinical Social Worker
Profile Community Forum Q&A
Photo of Rachel Weinstein
Rachel Weinstein, LCSW
Clinical Social Worker
Users: 4
Topics: 4
Posts: 4
Comments: 7

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Anxiety depression and psychosis
Conversation Starter
24 Jun 2026

Newly re-medicated now after tapering off

I'm newly re-medicated now after tapering off Viepax and Arriply.

But I have moments throughout each day where dread comes over me again. I’d like to not have such anxiety creep back in.

Night-times I wish I could have nice dreams that I remember. 

I'm scared if I have an acute anxiety attack. I wish I had something to take just to keep in my purse. It would give me a feeling of control just knowing it’s there. My psychiatrist will not even prescribe me any Xanax. 

It feels like the “dark cloud” is waiting in the background, and sometimes it slips over me again, though not as deeply or as long-lasting as when I am unmedicated. I need some more control over my feelings and thoughts. What happens is that I get a mini-panic attack and feel like I can’t breathe or or swallow, and that I’m drowning. I start thinking of the future and worry about death and convince myself that I have dementia coming on. I feel lonely and alone and get scared and the fear takes over. 

Can anyone relate what they do? 

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Rachel Weinstein, LCSW
Commentator
25 Jun 2026 at 12:18
Hi there, It sounds like you are really struggling with your anxiety and that in many ways, it is impacting your entire life. I'm glad you asked your doctor for medication for those "crunch times" but I do wonder why s/he decided against prescribing something. If you haven't already, I'd recommend asking why. There are ways that you can learn how to calm yourself even when those breathless panic attacks kick in that don't require medication. So much of panic is about the things that have not happend (and often don't end up happening) but feel so real and so scary, and make us feel so helpless that panicking seems like the only option left. I'm really grateful you reached out and want you to know that what you are not alone in feeling like this. I'm sorry you're experiencing those dark clouds and dread. I'm happy to be of more assistance if you'd like. Be well, Rachel
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