Advice?

Hello and welcome.

I am sorry to hear of your troubling panic symptoms. The fact that they do not manifest themselves so much physically, but more in your thoughts/feelings is not unusual.

We have many members who have physical symptoms, and therefore go on to develop health anxiety...but there are just as many people who fear losing their minds/going crazy, and feelings of being trapped and just having intense feelings of fear and doom.

Everyone is different...and every panic attack can be different. I assume that you are set up with a doctor since you have been prescribed the Rx. Why not set a consultation appointment and ask for a referral to a therapist? I think that since you are having self destructive thoughts that this is of the utmost importance.

Therapy can give you the tools to effectively deal with your issues...lowering your anxiety and subsequent depression about it. It certainly helped me recover from my daily panic attacks.:)

Keep posting here with us. We are here to listen and understand what you are going through.

Talk to you soon,

Scaredy Cat

p.s. I edited your post due to rule # 1.  We are not allowed to directly refer to these things, as they can be a trigger for sensitive members. Thanks.