<s>[INST] I have bipolar disorder, a few anxiety disorders, panic attacks and chronic fatigue syndrome.  The panic attacks come between the mania and depressed cycles. They last 4 to 6 weeks. Each day I have one, they last from 3 to 4 hours or the whole day. Sometimes i wake up in the middle of the night and find myself attached to the ceiling because the attack was there immediatly when I wake up. These 4 to 6 weeks happen 4 times a year. Recently I have noticed that Adderall  makes them go away. Ive only tried it the last couple of days so the trial is not very well documented. I will expierment again today because although it is only 6:30 am I am getting a panic attack. In your work do you use Adderall for pnic attacks? [/INST] His had gone through your query. Aderall has limited use in depression or bipolar disorder. It won't reduce anxiety or panic attack. If you have bipolar depression with panic attack then medicines like SSRI will Be choice. In SSRI paroxetine/sertraline/Escitalopram will be useful ion panic attack and depression. Anxiolytic like Mizoram and clonazepam will help to reduce acute attack, and it will be taken as and when required. Consult psychiatrist and discuss all this options. Take medicine after proper consultation with a doctor. Get well soon. Still if you have query then feel free to ask me directly on http://doctor.ChatDoctor .com/doctors/ Chat Doctor.  </s>