"my psychiatrist has prescribed this medicine for my acute anxiety for years. rarely did i ever need it while i was on paxil. about 3 months after i had weaned myself of paxil i started having anxiety attacks again, and rather than get back on it i resorted to taking 1mg lorazepam as needed for about a month. i got back on paxil and found discontinuing lorazepam to be moderately difficult. i had some major sleep disturbances, along with elevated anxiety and paranoia.  it took me about 3 days at 0.25mg for these to go away.  i recommend this medicine as a supplement to an antidepressant, but not as a stand-alone remedy.  "