I'm going to be talking to my doc about this too, but I also wanted to see if anyone has experience or an opinion with this. I have anxiety and panic attacks, and it's been worse ever since my first afib episode. I'm doing a lot of therapy, but I think I need some help with psychiatric meds. I have had some bad luck with SSRIs, and the only meds that seems to work are Ativan and propranolol. The former is addictive so I want to avoid that, and the latter only temporarily masks the psychological symptoms of anxiety. I need something to help with brain chemistry. I've read that citalopram has this weird dangerous arrhythmia side effect at higher doses. I wanted to see if anyone has experience with citalopram, and if it has impacted your afib.