When I started having severe anxiety attacks, I was sure I was going to die each time. I became of afraid of having anxiety attacks, which led to attacks over attacks. At the time I believed I was terminally ill, and the attacks were the final stages of the disease. I reluctantly went to a doctor and discovered extreme hypertension. I still have panic attacks, but I no longer think they will cause me to pass away which has lessened their intensity somewhat. I have several triggers for anxiety, and attacks, but the worst by far is the attacks themselves.
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