I get really bad panic attacks, my first one got me a trip to the ER as I actually blacked out, (lost my vision and was running down the hallway), the feeling that I was floating above my body and the world sounded really far away and muffled like I was under water, severe chest pain and throat constriction. It stemmed from a stupid pathophys test.
Now I just get the chest pain and throat constriction, where I breathe into a paper bag or chew a xanax.
My counselor (from about 6 years ago) pointed out that it builds up by my catastrophizing things in my head... always looking for the potential of everything including the worst potential, and that always freaks me out. Some of my thoughts lead to homelessness or getting fired or house fires or getting cancer, or my car breaking down or ... the list goes on. Sometimes I can think of the best outcome of small situations, but sometimes I can spiral over to the worst too. My other world becomes my reality and my body feels unsafe on a fundamental level a lot of the time. So sometimes when I'm thinking fine, the underlying/ or previous thoughts will still be sitting in my psyche brewing, making my mind think I'm dealing with these multiple traumas, and it will manifest in this constant low level of anxiety that can become extreme.
But now I have that under control with some help from counseling, where I can start on that bad cycle and stop and say... "Actually I'm not in (insert disasters here) I'm just sitting in my kitchen drinking coffee (followed by caffeine can cause anxiety! followed by WAIT STOP! THAT'S NOT THE POINT OF THE RELAXING EXERCISE!)"
The other very best medication for anxiety has definitely been cardio exercise... Esp. running. Exercise a lot and for a long period of time. It brings my thoughts down a notch. A lot of notches, actually. Needless to say, I've come out of all this anxiety with the benefit of being in really good shape.
