<s>[INST] hi im really worried i suffer anxiety and also have depression i take 50mg of beater blockers daily also i take nefopam and gabapentin for back pain as i suffer very bad back paid due to pregnancy! i had a fasting blood test taken and they said my cholestrol was high said it was 6 i think. im only 25 years old and my weight is noraml and my height, its just made my anxiety a million times worse and i feel i cant cope anymore. please help thank you. [/INST] Hi. I understand your concern. Beta blocker and Gabapentin can help to reduce stress and anxiety. But they have limited role. Anxiety and depression can be treated with anti-depressant medicines like SSRI .SARI like desvelnaflaxcine can HEL in Aromatization with depression. In SSRI sertraline / Escitalopram / paroxetine will help.chronic back pain with depression can be treated with medicine like amitriptyline, migraine, duloxetine etc. So consult psychiatrist and get further assistance .get well soon. I hope I have answered your question. Still if you have a query then feel free to ask. Thank you. </s>