A 34 year-old female comes to your office for the evaluation of her fears. For a little over a month, she has been feeling intense fear that something terrible is about to happen, worrying about losing control, worrying about dying, going crazy, and having a heart attack. She is also having an upset stomach, diarrhea, shaking, sweating, pounding heart after she experiences these fears. It feels as if she is choking and can’t breathe. As the fears overwhelm her, she feels dizzy, faint, and lightheaded. Her arms and legs go numb with tingling feet. The feelings start suddenly and get very strong, usually within 10 minutes. Then the symptoms usually last from 20 to 30 minutes. The attacks happen when she thinks about being lonely by herself in a dark room. But sometimes they come unexpectedly without a warning. She went to her primary care doctor, who according to the patient, ‘did every test in the world on me and found nothing wrong with me’. She also denies alcohol or drug use. Of the following, which medications are considered first-line in her treatment?
