I just experienced something like this but now it is totally behind me. An unfortunate family incident occurred causing my H and I to fight. I totally stood up for myself during that fight ( something I am proud of); however, because I hate being confrontational--my panic attacks, which I hadn't had in a while became severe. My part time job is security at NFL games. On Sunday, I was assigned to check bags and whenever I found prohibited items and enforced the rules--my panic attacks became bad to the point that I had to "yell" in order to make a small voice come out. It was uncomfortable but I simply recognized it for what is was and endured. I have always made a point of not allowing my panic attacks stop my life no matter how dizzy and lightheaded they make me. I also hide them from others (not sure this is good but it is my personality). I think of them as something I have to push through like a marathon runner does.

PTSD is aggravating because we can't control it, but by going on with things that are important to us despite our disorders, we are taking a measure of control! And knowing yourself and what could happen plus thinking of ways beforehand to combat it will help. (Like deep breathing in the morning, visual aides that you can refer to or ask others to read, extra medication, less coffee, remember that pausing actually improves the dramatic effect of a presentation, etc.) I read on hear (a PC article) that when you are ruminating, place that thought on a car driving by and let is carry you away. Perhaps you can find a friendly client or coworker in the audience and feel their warmth (like they wouldn't want you to suffer/would understand). Try to connect/ think of what they might be worrying about.

Good luck Golden Eve!!!!