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

### input:
Hi There, Okay I have been diagnosed with major depression and severe anxiety. I have had the same therapist for 6 years. My medications are trazodone 100mg at bedtime, Celexa 40mg in am, xanax 1mg 3 times a day. This has been working for years. Right now Im going thru major hell with a doctor who performed a simple laprascopic tubal  litigation and punctured my lower intestine making the last 11 months of my life very difficult still trying to all the reason Im still in major pain and a lot more problems with doctors refusing me and whole lot of other stuff. Last month my therapist left the practice to start her own. She is not up and running yet. So Im seeing another therapist from facility. Right off without knowing me or what Im going thru. She lowered my dosage of xanax by half. Im having very hard times with this low of a dose.  What can I do? With all this Im going thru Im so scared Im gonna end up in the ER because of the panic attacks and anxiety. HELP

### output:

Degree understand your concerns went through your details. I suggest you not to worry much. You are aware that you have severe anxiety and depression. You know what is anxiety is. I am sure that your therapist had given you full meaning. Once you know what is anxiety, you should also learn to relax. Anxiety is a disorder and not a mental disease. It is not only controllable but fully curable without Cognitive Behavior Therapy (CBT). Your therapist could have been qualified. Then why your anxiety is not being controlled or cured? You should ask this question yourself. Don't blame your therapist or doctor or your life conditions. Learn to blame self and pity self. Then you learn to change. The process of change in due course will cure the anxiety disorder. Take my word for it. I can help you with CBT. For that I need to know you more and more. You can post a premium question with your full details. Hope this answers your query. Available for further clarifications. Good luck.