The symptoms you describe - difficulty falling asleep, heightened anxiety, and a sense of déjà-vu resembling what you felt before your previous panic attack- suggest that your body may currently be in a state of increased stress sensitivity. These can be early warning signs of an anxiety escalation, especially if similar to your pre-panic pattern in 2021.
This does not necessarily mean a panic attack will occur again, but it is important to pay attention and respond early.
Next Steps
1. Seek a timely clinical review with a mental health professional to understand current triggers and rule out other causes (
thyroid issues, sleep disturbances, high stress load, caffeine, etc.).
2. Begin early anxiety-management strategies such as breathing exercises, sleep hygiene measures, and grounding techniques to prevent symptom progression.
3. If symptoms worsen- such as chest tightness, breathlessness, a sense of impending doom, or persistent sleep disturbance- consult a clinician promptly to discuss short-term symptomatic relief or therapy options.
Health Tips
Avoid caffeine, energy drinks, and irregular sleep times for the next few days, as these commonly worsen anxiety sensitivity.
Practice paced breathing (inhale 4 seconds → hold 2 → exhale 6 seconds) 5–6 cycles, twice daily.
Keep a brief symptom log so you and your clinician can track patterns.
Remember: recurrence of symptoms is common and manageable; early intervention usually prevents escalation.
For more queries, Reach out for an online or in-person consultation:
📞 NEURONAL FIX CLINIC, RAMPRASTHA COLONY, Ghaziabad, (near Shreshtha Vihar, Delhi)- +91- 74XX52XX97XX67XX61