Hi
Check the trigger factor for the panic attack.
But once in 4 months is normal. But still counseling works well.
Next Steps
Consultant a psychologist,
or beta blockers works well which will be pricribed by psychiatrist.
Health Tips
Try
1. Deep breathing
2. JPMR works well. ( But so it under psychologist observations for few sittings) .
3. Exposure therapy works well if you find the trigger.
all the best