question: I have Bipolar Type 2 Disorder, am, Clinically Depressed, have Anxiety and Panic Attacks along with Insomnia and a heart problem called PSVT. As long as I take my meds for everything, I m fine., I m FINE. I started smoking when I was 9 years old, smoking them by the pack by the time I was 11 years old, and at, at age 13 I would split a Carton of cigarettes with my roommate. (5 packs). I still split a carton with my roommate, and I smoke 2 to 2 and a half packs a day. I ve tried the the highest dosage of the Nicotine Patches and Nicotine Lozenges together, but they still Didn t stop my cravings. When I asked my Primary Care Doctor to put me on Chantix, he wanted clearance from my Psychiatrist Chantix. Why does he need clearance from my Psychiatrist to put me on Chantix, and what side effects could I experience with taking Chantix with my Bipolar Disorder, Depression, Acute Anxiety Disorder, (Anxiety & Panic Attacks,) Insomnia, and PSVT? I will be looking forward to your answer. Thank You Very Much Kathryn Williams