Coming from someone who works in psychopharmacology and works with psychiatrists Depends on your doctor . Dont mention panic attacks or any anxiety disorders the psychiatrist has to feel he ' discovered ' that diagnosis , not that you did by browsing the web , say you have instances when you feel like you cant breathe , come short of fainting and feel like youre having a heart attack . Say these bouts come infrequently and you ' ve tried breathing techniques but its not working . Don ' t mention medication at all . If the physician says the word ' xanax ' outside of writing your script , feign naivety . Act like you dont know the difference between SSRIs and benzodiazepines . Likely the doctor will diagnose you with a panic disorder if you link these ' attacks ' to stressful situations in your life . Then will begin a benzodiazepine regimen . The physician likely will start off with a . 25 . 75 mg PRN regimen of alprazolam . If you follow my advice that tends to be the case but the benzo could vary . If your doctor is an idiot they ' ll try gabapentin , a tricyclic antidepressant , antihistamine or worse an atypical antipsychotic . THIS ONLY HAPPENS IF THEY BELIEVE YOU HAVE A DISPOSITION TO ABUSE A CONTROLLED MEDICATION Also , never mention prior substance or alcohol abuse issues either directly related to you , or your family . Also , look presentable and speak with a modicum of eloquence . Dont go up to the psychiatrist and say Yea man im finna try to get a xan script u kno u cuz im anxious and shit right ? Talk like an adult , almost like youre at a job interview