I have been under a professionals care for SA since approx. 1990. I was initially prescribed many different meds. for the first several years and none helped except the Xanax. Next in line was Paxil, which turned out to be my miracle drug for me. What ever is missing in my brain paxil is making up the difference. For me 20mgs of paxil eliminated anxiety & panic attacks 100% for a two year period I used no Xanax. There was nothing that could bring on anxiety. I was doing so well and was so confident that I asked to come off of the Paxil. Well 2-3 months later I fell hard and lost a lot of accomplished groundwork and within 3 more months I was almost a shut in. I have now started back on paxil at 30mgs and am slowly gaining lost ground. This time I didn't have that instant success as when I first started on Paxil.