Brief Answer:
anxiety disorder is treatable condition, paroxetine will be good option

Detailed Answer:
Hello,

Thanks for writing to us. You are suffering from some anxiety disorder and used xanax and bupropion until now.

In my opinion best treatment of anxiety disorder includes both medicines and psychotherapy. .

In psychotherapy I recommend cognitive behavior therapy (CBT). In mild cases only CBT is sufficient. In moderate to severe cases initially medicines and then CBT is added. And later on medicines stopped gradually.
If medicines alone are used chances of relapse are more after stopping the medicines.

In medicines SSRI group of drugs(fluoxetine, paroxetine, sertraline, escitalopram) are main stay of the treatment. I prefer paroxetine when anxiety is more.
Benzodiazepines group of drugs (clonazeapm, lorazepam, alprazolam-xanax, diazepam -valium or etizolam) are used initially for short duration for fast symptomatic relief. I never recommend alprazolam (xanax).

Benzodiazepine group of drugs must be used under strict medical supervision otherwise it can cause tolerance, severe dependence and chances of abuse become higher. So you can use valium initially with your doctor's permission.

If I were your treating doctor I would like to start with paroxetine and clonazapam as well as CBT. Discuss this aspect with your treating doctor and change accordingly.

Hope I have answered your query, I will be happy to help further.

Regards,
Dr.Chintan Solanki.

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