Why am I experiencing panic attacks and blackouts?

Don't take more medicine without going to a doctor. You may hurt yourself if you do anything harmful. At least attempt to find some other way besides taking so much Xanax all the time because that could end badly too, like speaking halfway or breathing deeply.  If these don't work then going to therapy would be great too.

Escitalopram might be making you feel too drowsy in the morning like it's the reason you are going to sleep. This case is more or less the same with some people. An example of one thing you might do is to consume it earlier in the evening, for instance, right before you eat. This way, you may later be tired but not in the morning. If the problem continues, bring it up with your doctor.

YOUMAY BE EXPERIENCING dissociation or depersonalization.. SEEK MEDICAL HELP .

It seems like you might be going through depression or anxiety. These factors may impair your capacity to focus and an activity you used to enjoy. I suggest seeking advice from a mental health professional to review your symptoms and to talk about the treatment options. They will work with you to design a plan that fits your needs, so that you can feel better and more active.
 

The­ PEth test looks for alcohol in your blood over a long time, not just one­ day like other blood tests. It is ve­ry important to drink lots of water, eat good food, and not drink any alcohol to help your body ge­t better. It's a challe­nging process, but staying sober and taking good care of yourse­lf can help lower your PEth leve­ls more quickly.

Please talk to a psychiatrist. They may help you to overcome this issues