 [ Symptoms ] how long can panic and anxiety attacks last if not medicated i have been bipolar and have anxiety and depression issues for years and a few months ago i had to quite taking my abilify cause i could not afford it so im just taking effexor instead of both ive had a lot of stress lately and bad attacks but when i was on both meds i was fine my attacks can last for a few hours i go to sleep fine and wake up fine then im back to havimg these attacks could it because im not taking both meds together anymore  [ Disease ] it is wholly possible that this is related to you stopping the abilify especially since you seem to have been fine when on both it is also possible that your depressionbipolar disorder has simply gotten worse but i think that would be rather unlikely since your sleeping habits are unchanged as for how long the attacks last it is not unheard of for them to last from a few minutes to upwards of a few hours   it depends on what triggers them how severe the attack is and your individual reaction to them i can attest from personal experience from seeing a friend and having one myself there are the traditional things you can do for yourself to make the attacks more manageable avoiding triggers being properly rested breathing exercises etc  and if that does not help maybe your doctor could recommend new medications such as a generic less expensive form of abilify if there is one