First, I want to say this clearly:
Your symptoms are real, distressing, and treatable. You are not weak, and this is not “just in your head”.
What I’m clinically seeing from your description
You are a 27-year-old male with:
Sudden onset of severe anxiety (since 27 May 2024)
Constant nervousness
Breathing difficulty / air hunger
Insomnia
Body trembling
Fearful sensation that breath stops during sleep
Health-related worry (rhinitis,
triglycerides, medicines)
Persistent feeling of being unwell
This pattern strongly suggests Severe Anxiety Disorder with Panic Features, possibly Health Anxiety, and sleep-related panic.
At this stage, it does NOT automatically mean PTSD.
Next Steps
Let’s break this down calmly
1️⃣ Why breathing feels disturbed
In anxiety:
Breathing becomes shallow and fast
CO₂ imbalance causes air hunger
Chest muscles tighten
Brain misreads this as “I’m suffocating”
👉 This feels very real but is not dangerous.
The feeling that “breath stops during sleep” is very common in panic disorder and is called:
Nocturnal panic attacks
However — one medical rule is important (see below).
2️⃣ Body trembling & insomnia
These come from:
Overactive adrenaline
Constant fight-or-flight mode
Hyper-vigilant nervous system
Your body is exhausted but alert, which blocks sleep.
3️⃣ Rhinitis & medications
Rhinitis can worsen anxiety sensations because:
Nasal blockage increases breath awareness
Antihistamines sometimes cause mild sedation or restlessness
⚠️ Important psychological note:
Montelukast has been associated (rarely) with anxiety, restlessness, mood changes.
This does not mean you must stop it, but it should be reviewed by your doctor.
4️⃣
Triglycerides (315 earlier)
This is not causing your anxiety.
But anxiety can worsen
lipid levels through stress hormones.
Health Tips
One CRITICAL medical safety check (non-negotiable)
Because you mentioned “breath stops while sleeping”, I must say this responsibly:
👉 Rule out sleep apnea ONCE with:
ENT review or
Sleep study (if doctor advises)
Why?
To separate anxiety fear from physical sleep obstruction
Once ruled out → anxiety reduces significantly
Most young patients turn out normal, but checking brings psychological relief.
What I would advise as a psychologist (step-by-step)
✅ Step 1: Reduce fear of symptoms
Anxiety feeds on misinterpretation. You need psychoeducation:
Panic symptoms are uncomfortable, not fatal
You are not dying, choking, or going mad
✅ Step 2: Structured therapy (very important)
Best options:
CBT for Panic Disorder
Breathing retraining
Interoceptive exposure (learning not to fear body sensations)
Medication alone is not enough.
✅ Step 3: Sleep-focused intervention
Fixed sleep–wake time
No symptom monitoring in bed
Grounding before sleep
No Googling symptoms at night (very harmful)
✅ Step 4: Medical collaboration
One physician to coordinate (not multiple opinions)
Review montelukast effects
Recheck lipids calmly (not urgently)
What NOT to do
❌ Constant pulse / oxygen checking
❌ Searching symptoms online
❌ Avoiding sleep out of fear
❌ Fighting anxiety sensations
Fighting anxiety strengthens it.
Reassurance you need to hear
Anxiety can start suddenly
Anxiety can feel physical and extreme
Anxiety does not damage your heart or lungs
Anxiety is reversible
I’ve worked with many patients like you — they recover fully.
I need to ask you just ONE thing (important)
Please tell me:
Did this anxiety start after an illness, stress, panic attack, or health scare?
Your answer will help me guide you more precisely.