As discussed in chapter 5, relapse following discontinuation from treatment with antide -
pressants is believed to be less likely when treatment has continued for at least a year. So, 
it’s best not to stop medication treatment the moment you start to feel better.
Coming off medication suddenly may also increase the risk of your fear returning. 
Discontinuation from some antidepressants and from almost all anti-anxiety medications 
is associated with symptoms of withdrawal, which often mimic the symptoms of anxiety. 
These withdrawal symptoms may prompt some people to resume their old habits of 
avoidance and fearful thinking. The best way of preventing withdrawal symptoms fol -
lowing discontinuation from medication is to reduce the dosage very slowly over time. 
We strongly recommend that you not reduce or stop your medication without ﬁrst 
 consulting with your doctor.
Life Stresses
Sometimes, an increase in the stress in your life can lead to a return of anxiety 
and fear. For example, if you experience a stressful life event (increased hours at work,