Hi I can sense how frightening and unsettling these new symptoms must feel on top of your existing stress and mild depression, especially when they wake you up at night with chest and hand vibrations, sudden jerks in the chest, and that alarming sense that your body is forcing you awake. It’s natural to worry this could be something serious like a heart issue, particularly while on medications like Paxidep and etizolam, as sleep disturbances and strange bodily sensations can heighten anxiety and make everything feel more intense and scary. You’ve been carrying a lot lately, and these disruptions are understandably making you feel vulnerable and afraid. While these symptoms could stem from anxiety, medication side effects, or stress-related sleep issues rather than a heart attack, it’s important not to dismiss them—please reach out to your doctor again soon so they can properly evaluate what’s happening, possibly adjust your treatment, or run any needed checks for your peace of mind. Taking this step can help you feel safer and more in control. Consider speaking with a therapist soon who can support you through this—my number is nine two six six seven two six zero six five

If this has started after medication. It can very well be a side effect of paxidep. Although it's a very low dose and at this dose such side effects are uncommon. Still every body reacts in a different way to different medications. There are many better options with much less side effects to deal with panic attacks and anxiety than paxidep. Kindly consult for detailed evaluation and individualised treatment plan. I provide online consultation and therapy support.

Hi, anxiety can cause about symptoms. Consult online for a second opinion

Hii... the symptoms you describe—night-time chest sensations, body jerks while falling asleep, these can occur in Depression and Anxiety Disorders, especially during periods of high stress or in the initial phase of starting antidepressants like Paroxetine. These are usually not dangerous, but can feel very distressing.