Many years ago I was given citalopram to help with severe anxiety. The big difference between this, and the other times I'd been given paxil, stratera, wellbutrin, Lexapro, and others, was that I had a therapist who was adamant that drugs alone will not help. You must combine drug therapy with closely monitored, regular one-on-one therapy. That year of therapy and the meds changed my life. Now I'm off the meds and doing very well. Just two cents but maybe others have similar experience?