Happy Anniversary Becky, I am glad you went away and I hope you had a good time. I just posted my luck ran out, I had a whopper of an attack a few hours ago, it was so bad I told my husband to call the paramedics, that would of made that 3 times in 2 weeks, he refused which may of been good the neighbors are wondering what is going on and I do not want to embarrass my son. Oh Becky I do not know if perimenopause can cause this I guess it does not help it, I do not have hot flashes yet, its just my panic and depression are out of control and its led to such health anxiety, I guess I cannot believe anxiety can cause all this and I think I have some terrible horrible illness, I am so shook up everything is going around and around, I feel like I am in the twlight zone or somthing, the Klonopin calmed me but made me sedated and dizzy and groggy, I do not know whats a worse feeling? I am SO sorry about your friend, I will pray for her, I so understand that feeling, right now she is feeling so scared and hopeless I pray she does better, is she taking some meds? they may give her a tranquilizer to help. I hope you are doing better Becky, I hope you enjoyed your overnight out of town for your anniversary, thats great you can get away I am happy for you. I may stop taking the Paxil Becky if its not going to help and just cause side effects I do not know what to do?? Yesterday I felt so good and felt like finally the nighmare was ending, perhaps I am always going to have bad days or good days, I just wish the good days could outnumber them Becky, its getting so hard to function and I am afraid my husband is going to leave me. Please write back when you can, I hope you are well. God bless, Debbie.