Hi, For a personalized management plan,  connect on the given link :      https://linktr.ee/abhinavtewari Whats@pp available on nine four one five three nine four three seven nine Kind Regards, Dr Abhinav Tewari MBBS (A.I.I.M.S., New Delhi) MD (Psychiatry) (A.I.I.M.S., New Delhi)

Hello! I see you have been experiencing the above symptoms for a few months now, must be really difficult to cope with. However, we need to understand that since it has started affecting your daily functioning have you considered consulting a psychiatrist and a clinical psychologist as well? We need to understand in detail to help you navigate through this. I hope this clears out a little of what can be our next step :)

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Since you have already tried various coping mechanisms without much improvement, and it's now affecting your performance,it's time to take medication first to control your panic attacks and anxiety. Then you can go ahead with the therapy and building resilience to cope with panic episodes. And as far as cause is concerned, your treating psychiatry will only be able to tell that after a detailed assessment.