Hello, my name is Steven. I am 18 and have had at least some anxiety all my life. Recently, I had my first panic attack a month ago due to to much caffeine (I will never drink Redbull again... :P ). Since then my anxiety has gotten unbearably worse. A week or so after that I also began to suffer from what I assume to be Derealization (I feel as if reality is a dream, less vivid, though I know its not). It has been constant, though the intensity does vary through out the day. This has attributed greatly to the worsening of my anxiety. However, finally figuring out what that feeling was and understanding it has made it easier to cope with reducing alot of anxiety. I have been taking Lexapro for approx. 4 - 5 months for Social Anxiety Disorder. It has helped my social-specific anxiety, however my general anxiety has only gotten worse. I have an appointment soon with my Psychiatrist whom does not know about the Derealization yet. I still need to check with my Doctor to make sure its not something physical. If it is something physical I would suspect it to be sinus/inner ear related. Anyways, thats why I'm here ^_^.