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Many of the therapist referrals I am given are for general therapy or are for teenagers, relationships or self-esteem issues. I am looking for help with extreme anxiety, panic attacks and depression.

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Red, has the patient been seen by a psychiatrist? That would to be the place to start.
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Reply to BarbBrooklyn
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A psychiatrist has prescribed "as needed" medication for severe episodes and panic attacks but it seems some talk therapy or emotional support would help alleviate some of the sevete episodes.
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Reply to RedVanAnnie
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