I think I have had anxiety and depression my whole life, but I have a new symptom that I cant seem to get under control even with the 20mg citalopram. Every day when on my way to work I get butterflies in stomach like I'm about to skydive or something, but not sure why. When I get to work I am on edge, and a rude supervisor, or coworker will make me so angry that I want to hit something, my hands start to shake, my heart goes faster, and I have to match the intensity of the attitude of the rude supervisor or coworker. So I have a short anger driven outburst then I have to go outside, have a cigarette and walk around for a minute because I get a energy rush when I respond to the rude person, and I don't want it to go further. If their is no rude or bad treatment that morning then I have the butterflies and sense of dread most of morning. Does anyone else have this and how do you manage it?