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vhill - Xanax, like all the other benzodiazepines, has some risk for impairing memory. Just how much risk is likely to be a function of dosage and frequency of use, use of alcohol and other sedating drugs and medications, your age, and general physical health. If the Xanax is really helpful and you have never gotten any benefit from other medications or treatments then finding some strategies to help you compensate may be the answer. This may be an acceptable approach given the very small dose that you are taking. If you have not tried cognitive/behavioral approaches then you may want to give those a try since memory impairment is not a side effect. Find a therapist experienced at working with difficult to treat anxiety.   Rick Wirtz   Rick Wirtz is a Psychologist, not a Psychiatrist. Although the majority of Psychologists are not authorized to prescribe medications or give you specific advice about them, they typically have experience working with patients who take a variety of medications. The response above is not intended to diagnose or treat any medical or mental disorder. Any information given in a post about medication is for educational purposes only and primarily to aid you in having an informed discussion with your own physician.