Thank you for writing about your experience of panic attacks. They sound very similar to those experienced by my son from his early teens onward. He’s used Cognitive Behavioral Therapy to mitigate the attacks and it’s worked extremely well. He now has only a handful of attacks per year, and they are minor and quickly resolved. While pharmacology can likewise help, over time the brain will downregulate certain neurotransmitters in order to compensate, which means dosage will need to increase or alternative drugs attempted. CBT, conversely, is about creating new neural pathways to short-circuit the existing pathways that trigger the attacks, and appears to be effective over the long term. If you aren’t already familiar with CBT, the classic textbook is by Arron Beck.

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