<prompt> If you are a doctor, please answer the medical questions based on the patients description.My 16 year old started the pill Levlen on the 2113 and in the past 2 weeks has been getting very anxious and experiencing panic attacks. They are usually brought on when she has all focus on her. Could it be the Levlen she was a happy go lucky girl full of confidence now she s a mess and living in fear of having another panic attack.  <response>: Hello and welcome to Chat Doctor. Thanks for your query. Even is a hormonal pill, and it is possible to have side effects such as mood swings or anxiety symptoms as a result of the medication. However, it is unusual to have full-blown panic attacks solely due to the medication. It is possible that the anxiety panic attacks could be an independent psychological problem also, such as an anxiety disorder. You have also mentioned that these symptoms are more when she has a lot of attention on her, which could again point to an independent psychological cause. I would advise you to take her to a psychiatrist for a detailed evaluation and further treatment. Wish you all the best. 