"i have severe panic and anxiety attacks and have for over 20 years. when i tried to go off this medication, lowering my dosage slowly because of a pregnancy, i ended up with the bad anxiety again. needless to say i ended up going back on and my son was born perfectly ( at the time 20 years ago they were not sure of long term effects) if anything he is smarter than my other 2 children. i also take an anti depresent that works very well with it. i definitely recommend this medication. i am on a higher dose probably more than most i take 2mg in the morning and 2mg at night. probably because my depression is worse than it was but the anxiety is finally under control"