I am taking .5 mg bid for anxiety and panic attacks but it's not getting the job done ie: severe anxiety at home and when I venture out of my home which is only if absolutely necessary. I have had chronic dysthymia for 3 decades and severe insomnia. I was also quite deaf until 2004 when I had a cochlear implant who has helped with communication. When I'm in a very low point, suicide has crossed my Mind. I am 71 and caring for my hubby who has post polio and on a respirator 16 hr/day.............to end my life would be a blessing.