I too have had the same problem, wondering if meds are really necessary. But whenever I have come off of them I have always had to go back on something or other. Paxil and one other one I tried at the beginning helped me a lot, but the side effects where bad...especially sexually deadening side effects. Also, during that time I was on Paxil and Clonazepam, or some other tranquilizers, I started to get very strange illnesses, such as intra-cranial hypertension, extreme weight gain, bleeding inside my eye , and I lost some vision; tumor of the collarbone, pre-cancerous breast tumors and repeated urinary tract infections. The last drug I was on back in 1999 was Effexor XR which worked better for me than all the other ones, and less side effects. But I moved to another country in 1999, and started taking Chinese medicine, which is stronger than kava kava and valerian and all the other herbs you can get. I was also a practising aromatherapist, and knew all about the most calming aromatherapy treatments, which I also used. They are very relaxing and help people fall asleep; however, if you have a brain chemistry problem they will not keep you alseep long enough, or deeply enough. Everything can help; but I believe the drug therapy is the strongest thing you can use. Depending on your condition, various treatments are probably good. If your condition is bad, what I am hearing from everyone's comments here, is that even the drugs can be disappointing. So perhaps everyone is different, and all of our conditions need to be treated on an individual basis. You can have bad side effects from so called 'natural' products too, as I have learned from personal experience. Right now, I am on a combination of drug and herbs from the doctor. But honestly, I believe the Effexor XR I was taking 3 1/2 years ago was better than what I am taking now, because I am still having panic attacks, and I am just hoping that in the next month or so, this new medication will kick in. Otherwise, perhaps I will have to change meds again. My feelings are unacceptable to me, especially when they cause pain to others. I have had seven years of various types of therapies; and talked out all my past, etc., which helped alleviate some pain of the past, however, I do not think that ta