i fortunately have very understanding boss and she puts me before my job. if there was something i couldnt handle, she would give that duty to someone else. fortunately, due to my ptsd/DID, i am very good at dissociating and i am able to compartmentalize easily and not let my work impact me too much. that didnt stop a breakdown a couple weeks ago when i ran smack into someone walking out of my office. scared the crap out of me and triggered a panic attack. was able to see my two clients fine but then i couldnt function and wasnt able to teach class that night. but i knew i had coverage so i think that is why it was ok to break down.

there are a couple things i do for panic attacks/anxiety that have helped me cope. maybe they will help you as well.

a way to stop panic attacks is to relax. it is physically impossible to panic and relax at the same time. you dont even have to really relax. just fool your brain into thinking you are relaxing. imagine as if you just did a meditation or had a massage and all your muscles have turned into limp noodles. just let them all go. this will stop the panic attack. you may have to do it a couple times over your first tries, but when i started doing this it ended the attacks and soon i never had a panic attack again,

i have this thing called an anxiety meter that i visualize in my head. it goes from 0 to 10, 10 being the worst anxiety ever. so when i am anxious, i see where the needle registers on the meter. then i do breathing exercises until i get it down to a four. which is manageable for me. sometimes i see a knob on the meter and i will manually turn down the meter to four so i can calm down faster. practicing this enough, all i have to do now when i am anxious is say dial down, and i can calm myself.