Nursey replied: "Please go to an emergency room and tell them how out of control you feel and how long you have been awake. They may give you a tranquilizer or an anticonvulsant (odd I know but they work). I had a similar situation when moving from Prozac to Wellbutrin. It was bad enough that I stopped meds all together and tried "thought therapy". Your Zoloft is recommended as treatment for panic, ocd, and pstd. So your doctor thought she was targeting your symptoms well I'm sure. Obviously it is not working for you and your therapist sounds rather apathetic. I don't want to offer an alternative to the ER because I really think you should go, but if you simply aren't going to heed my advice then do what you can to get some sleep. Sleep deprivation goes along way to fuel the anxiety and shakiness. A very vicious cycle indeed. I sometimes take a sleep-aid like Diphendydramine. Then lay in a dark room with soothing music and try to consciously stop all thought. Don't stress out too much about stopping the thoughts. Concentrate on a blank wall in your mind until you drift off. I if you cannot make yourself go to a hospital and cannot calm down enough to sleep then call someone you trust to take you to the hospital. Sometimes it helps to have a little support. I hope this helps!"
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