[jmhain]

I appreciate the very well-thought-out comment. It seems to be fashionable to dislike SSRIs but I've been on an SSRI for a severe anxiety / panic disorder for around six years. and it's the _only_ thing that ever eliminated panic attacks by 100%.

> Perhaps the biggest problem with SSRI treatment is the delayed onset of action. Unlike short-term rewarding drugs such as stimulants or opioids that may boost one's mood in the short term but quickly develop tolerance, SSRIs work through long-term adaptive changes.

I see this more as a godsend than a problem. Other meds I've taken, such as mirtazapine, work fast but poop out as soon as I develop a tolerance. Citalopram seems to work indefinitely once those adaptive changes take place.

My psychiatrist a few years back took this into account and prescribed both, and it worked brilliantly. As soon as the mirtazapine's effects were wearing off, the citalopram started kicking in.