[emerged]

I wonder if something like St Johns wort would be enough to keep the panic attacks at bay if the SSRI is so light. Not that in your shoes I’d want to risk a switch after years of success. But it might be a good thing to try for someone who is hesitant to be prescribed.

[edot]

Just wanted to add here for anyone considering St. John’s wort - it has a ton of negative interactions with lots of very common drugs, so check to make sure you aren’t already taking something that will interact with St. John’s wort. Ask your doctor.

For example, it can make birth control pills fail, allergy meds build up in your system, and serotonin build up if combined with another anti-depressant.