"i have had bouts of severe and at times crippling anxiety for over 20 years. though i mastered recognition of severe anxiety and can skip the er realizing i cannot die from a panic attack, the effects would still bring me physically to my knees. i failed to respect the source of anxiety: depression. however, the ssris out today like zoloft, etc, are bad on your brain and totally destroy your libido. you eventually are robbed of sleep and the problems spiral: blood pressure, obesity, apnea. trazadone solves both problems for me, mental depression, physical insomnia. side effects for me are: muscle spasms/weakness, balance problems, dry eyes, left side throbbing headache and some mania. hopeful for the future."