hi jokerjo, how disappointing that no doctor could give you any insight or help to deal with this. have you already consulted a mental health specialist? i have anxiety and i have passed out from it in the past. i also have hypoglycemia so sometimes i'm not sure if its that or anx that makes me pass out. one pdoc i saw said that when i have too much anxiety built up, my body shuts down to protect itself. That is one explanation. Another explanation for me is that I tend to either hold my breath or I overbreathe. When I overbreathe and I black out I get the oddest sensation after I wake up. The oxygen/carbon dioxide balance is disturbed and that can give me the feeling that i'm in a trance. That can last a few hours or even a day or two. I have been to quite a few doctors for these issues but they couldn't really help me either. Some suggested I do CBT in order to learn to cope better when I get panic attacks. Others have said I should move on and not focus so much on my anxiety I really hope you can get some help soon. Take care