welcome patty
your story is familiar
be assured that the panic attacks and heart palps wont do you any harm
a beta blocker med would calm the heart, especially of you have high blood pressure
the brownouts are likely derealisation, read about it on the net, stress causes it abut it wont harm you either
reflux or GERD is a common anxiety problem, I think some of the new ulcer meds help, also dont eat for a while before bed and no midnight refrigerator raids
paxil will help a lot, if it works ( sometimes it doesnt) your dosc could be further upped to see what happens
get some panic disorder and agoraphobia recovery self help books and follow their advice
basicly you shouldnt tense up or fight back, but relax and accept
get a book on home massage and ask husband to massage you for stress reduction
stay with us and read all the posts and see how you arent alone