### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, I m a recently retired, (63 years old) female . I haven t driven in ten years. I felt that once I retired, the stress from work and job would help me to overcome the panic attacks of driving. Now that I am retired I m a prisoner in my home because I m unable to drive to get out and move around. I want to be able to go to the health club, drs appt mts. and simply shopping. I was told by several doctors (internal medicine) that I was experiencing panic attacks. I was prescribed paxil 20mg. At one time I wasn t able to be alone in my home for fear I may have a herat attack. Since I ve taken paxil I m now able to be alone in my home with no problems. My main concern is I have major panic attacks when I m driving alone. Hence, I have completly stop driving for ten years. I so desperately want my indepedence back. I want to drive again without fear of any of panic attacks. Please help me . What can I do to overcome this major problem in my life that has stripped me of my mobility to get around? Public tranportation is imited where I leave and the cab service expense is overwhelming. I want to do this for me. I ve burned my husband, family and friends out with requesting rides. I would like to see a psychiatrist in the south chicago suburban area who specializes in this disorder. My e-mail is provided. I appreciate any advice and suggestions you can provide. Thanking you in adevance. I

### output:

Hi there ~ Having panic attacks can be stressful.  I understand that you have been started on pail.  However, you do not give me more details regarding dosage and how long you have been on it.  You need to be on an adequate trial of pail for it to be efficacious.  In other words you may have to wait (or let your doctor know during your next appointment).  However, there are other strategies that may help with panic attacks.  Psychotherapy or counseling sessions and short term trial of benzodiazepines that are quick and efficacious may be helpful.  You need to consult a qualified psychiatrist for referral. Take care and I hope this was helpful.