So what can be done to help narcolepsy patients who suffer from social anxiety or panic attacks? "As far as I know, there have been no studies concerning treatment of panic attacks and social anxiety in the narcolepsy population," Droogleever Fortuyn said. He has had experience treating this population for panic and anxiety, but the results were far from clear cut, he said. For instance, 43 percent of the subjects in this study were taking either SSRI or tricyclic antidepressants for cataplexy, but the medications did not protect them from anxiety or panic. And in the three subjects receiving the SNRI antidepressant venlafaxine, "there was a positive link between venlafaxine and occurrence of panic attacks."