Maybe consider changing your attitude about the panic attacks???

I have no idea how debiliating your panic attacks are for you. Only you can know how much suffering you are able to manage without a psych med to lean on as a crutch.

I think about people who are in extreme physical pain and manage pain without pain meds. How do they do it? What about people who undergo surgery without anesthesia? How do they do it?

I think a little positive self-talk or self-hypnosis would benefit. Try grounding techniques first, to help you realize you are safe. Next, try to accept the feelings your body is feeling. It's not wrong to feel your heart race if it needs to. Try relaxing your breathing. Hyperventilation perpetuates panic attacks. Focus your breathing on longer exhales and shorter inhales.

If any of this works for you then you'll have your own evidence to keep up the good work.

I still have panic attacks. They don't control my life anymore. I go with it and when it's over I realize it wasn't that bad. The more power I give them, the worse they are. So . . . heart, if you wanna race, go ahead . . . chest, if you wanna hurt with stabbing pains, go ahead . . . lungs, if you wanna catch your breath, go ahead for a little while, i'll help you breathe . . . head, if you wanna spinn, freak, zoom, and faintish, go ahead, i'll recover, i'm not dying . . . etc etc etc.