Along with the depression, I get panic attacks. They are awful, often it feels like I am having a heart attack. The first time it happened even the doctor thought at first that it was my heart. Once they figured out what the problem was, I was given xanax to take along with depression medications. The panic attacks are triggered by stress. The stress is caused by fear and anxiety. I stress out over everything, social interaction, work, health and just about anything that most people would not even think about. For me anxiety is a daily occurrence, the question is always do I need to reach for my meds.