1st episode was treated with Prozac, Xanax
and brief therapy. 2nd episode was treated without drugs, but I was in therapy for almost 3 yrs. For this 3rd episode, I went to the ob/gyn first, who put me on small dose of Prozac and sent me to therapy. After going back to him several times (still in therapy), but without improvement, he sent me to a psychiatrist. The psychiatrist and I did not get along, but he did put me on Effexor, which helped tremendously.