My sleep has been weird lately and I am lowering my dose of xanax (with the help of my psychiatrist) and I feel worse than I've felt in a long time even though recently I've been doing better. I just feel shaky and my thoughts are all over the place. Everything looks/seems scary and I'm afraid I'm going to have a stroke or something from being so anxious. Or end up in a mental institute and never know what's going on again. I also just feel really physically sick, even though there is nothing physically wrong with me. My derealization is really bad too. Seriously thinking about just going to the ER, even though I have a therapy appointment in a few hours but I don't think I'll be able to sit through it.