<s>[INST] My 16 year old started the pill Levlen on the 2/1/13 and in the past 2 weeks has been getting very anxious and experiencing panic attacks. They are usually brought on when she has all focus on her. Could it be the Levlen she was a happy go lucky girl full of confidence now she s a mess and living in fear of having another panic attack. [/INST] Hello and welcome to Chat Doctor. Thanks for your query. Even is a hormonal pill, and it is possible to have side effects such as mood swings or anxiety symptoms as a result of the medication. However, it is unusual to have full-blown panic attacks solely due to the medication. It is possible that the anxiety / panic attacks could be an independent psychological problem also, such as an anxiety disorder. You have also mentioned that these symptoms are more when she has a lot of attention on her, which could again point to an independent psychological cause. I would advise you to take her to a psychiatrist for a detailed evaluation and further treatment. Wish you all the best.  </s>