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I had started with Celexa, then changed to citalopram when it became available. (No changes whatsoever, both meds helped me exactly the same. Citalopram was just cheaper.) I had been in a severely bad personal situation, one that included some abuse. I was in a very bad way, and my anxiety level was at times paralyzing. When I started taking Celexa, my anxiety calmed down considerably, and I was able to see my bad situation for what it was, and I was able to actually deal with it. It's now years later, and my life is fine now, though I believe my personal situation damaged me enough to where I'm too stressed if I try to go off the medicine, so I stay on it, and that's fine with me. I believe Celexa quite literally saved my life.