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

### input:
I m diagnosed with major depressive disorder, severe anxiety and panic attacks. Been going on for about 3 years. Tries Zoloft, no help, prozak, no help. then my doc put me on 40mg Viibryd. I seel this helps quite a bit, as put me on 1mg klonipin twice a day as needed, and 200mg mg of Seroquel at night. This combo was working well for me until recently. I;m not sure what changed. i was to ask for Valium for those panic and anxiety attacks, but I m too scared of what he will say. I feel I need it, but...again I am scared. I just want to feel normal and not have to slap on my happy face so others think I m doing well. I guess, what do you say?

### output:

! Valium can not replace the need of anti-depressant and antianxiety. It will help you in anxiety, but the effect will wean away with time and also cause a problematic with Chat Doctor. You should try out other antianxiety medicines, there are still many good molecules left to be tried. You may continue using Seroquel, and can increase the dosage to 200 mg, taken in divided dose in day and night. If I had such a patient- I would go for using Venlafaxine or paroxetine, along with Seroquel. For panic attack, if they come it is helpful to take clonazepam or Mizoram in low dosage. With correct combination of medicines the patient always get better.  So, there is no need to lose Hope. Hope the reply is useful feel free to ask more questions