I am so sorry to hear this! I understand about anxiety and depression on and off most of one's life. That's my son's case too. He's a bit younger than you and it's been a really hard road. I am glad that you got relief when you did with prozac and hopefully you did some therapy then too? I'm not sure what is going on that panic has resurfaced in such a way that it has. Panic attacks feel HORRIBLE. So I'm sure you hate this. Medication is one of those things that takes some time sometimes to find what will work for you. My son has been taking hydroxyzine very successfully for his anxiety and panic. It's being used PRN and we have a dosing range he can go to. Works for him which is NOT to say it will work for you but we like it for the fact that it is not addicting and he seems to have zero side effects unless he takes the upper end of his dose to induce sleep (which is what we want at bedtime.). During the day, even at school, he takes a lower dose and has absolutely zero side effects and the anxiety is reduced. My son's diagnoses are major depression, generalized anxiety disorder with social anxiety and panic and OCD and tourette's. He also takes prozac. This greatly helps with the depression but didn't seem to do much for his anxiety. He's been taking buspar which we don't think is working very well. So, that's my son's med story. There are a LOT Of meds. I would suggest talking about a modification but also that these medications take some time to work. What dose of zoloft are you on? It takes a higher dose of that typically to get to a therapeutic effect.
Other things to consider. I've been reading a lot about therapy. Of course there is top down therapy. CBT, DBT as examples. I think these are awesome and would recommend working with a therapist on this type of thing. But there is also bottom up treatment. Our bodies hold in tension and trauma. Trauma isn't always an event specific thing but can be the negative energy and feelings you have about something (people always wonder why they haven't had something super dramatic in their life but still fee traumatized. It doesn't have to be super dramatic to still have trauma). Releasing that negative energy from your body is really essential. Exercise! Such a good thing to do to help. Relaxation such as tensing toes, feet, ankles, calves, etc. all the way up your body and releasing them as you go visualizing letting the tension out. Massage. It can release what we hold in. Then there are the other relaxation things of breathing exercises and meditation. Even prayer if you are into it. Grounding exercises (the 5,4,3,2, 1 strategy-- name 5 things you see, 4 things you can feel, 3 things you can hear, 2 things you can smell, and 1 thing you can taste). Picture an emotional dial you turn down. Something to try in panic moments is from the DBT strategies . . . Temperature. Get some ice. Hold it in your hand or put it on your head or forehead. (we grab an ice pack). You could get a bowl of water and fill also with ice cubes and emerge your face for a few seconds. You can take a cold shower. Not for long do you do this. A couple of minutes. Another is to do immediate vigorous exercise. Not sure why, but it breaks the panic situation. We have a mini trampoline in our basement. My son will jump on it like jumping rope. Or he'll run in place really fast. Or we have a punching bag and he'll begin using that quickly. Last, I really think distraction is a go to that can help. Have a list of go to things to distract yourself. Video games, tv show, nature while walking looking around, reading a book, talking to a friend, etc. Whatever it is. Whatever you can do to take yourself out of the moment. Oh, and keep a journal. What precedes the panic to see if there are triggers. And what works to help you at those moments to get through it.
Anyway, that was long.Sorry. I am happy to talk more about this. This is a common discussion these days at my house. You are NOT alone.
If you weren't having panic attacks until you got hit with a golf ball, and nothing else happened in the meantime to cause this tremendous aggravation of what was a minor problem, I'm going with getting hit with the golf ball.
I realize the docs haven't found anything, but that doesn't mean something didn't happen. That's just a pretty odd coincidence for someone to change that radically after suffering a blow to the head, which we now know causes all sorts of problems, although many of them would be related to repeated concussions and would happen down the road, but it's just too much of a coincidence for my small brain.
What I would do is think if anything else happened that might have been enough to push into such a different mental state. I can't rule out obviously that you were going to develop a bad anxiety problem and it just happened to occur now. You are in the age range when most people get chronic mental illness. But then, there's that event that happened.
If you're able, sometimes it helps to see better docs when the ones you're seeing can't find a problem you think exists. Places like Johns Hopkins and Mayo Clinic and many university hospitals make their living off of other doctor's shortcomings. If it is an anxiety problem, if you're getting that many panic attacks daily, it's hard to see if it is in fact not a physiological problem how you're going to fix it quickly enough without medication that works. Therapy will take time. But if it is a physiological reaction to the blow no med for mental illness will fix that; they don't even fix problems with mental illness, they just tamp down the symptoms.
I'd also be leery whenever someone tells you about their problem or their friend's problem or a family member's problem and then tells you what meds to take. Meds are very individual so take any specific recommendation lightly. It's too much trial and error and the problem the other person has may not be the problem you have. Let a psychiatrist guide you on that one.
Now, it could also be the experience with the golf ball shook you so much emotionally that your anxiety problem greatly worsened, but I'm still focusing on this coincidence and am of the opinion that usually, when something happens and then a new medical issue arises, the first place to look is at the thing that just happened. Peace.
I feel the same exact way ,but then I talk to myself and that sometimes helps