Thanks for the interest Colleen,
The same way I went after my manic-depression issues in the late 90's. I thought about it a CRAP-TON every day and took meds to help me thru work. That was then and I had a friend helped me with zoloft while I worked through it.

But not this time.
I am in really heavy traffic and fast moving thru atlanta every day, like all day. The back story is this: Every day for the last few years every time I got on the freeway (which here is MASSIVE and fast and crazy), I asked myself, at what age and when will I have to quit doing this because it just becomes too scary and ridiculous for me to handle it? I mean, you never see elderly people driving on these mega roads... This was a mental issue with me. Take it one step further, and age-versus-competence thing. It's like... Can you drive forever in these conditions as you get older? (Question to self). Apparently, I've not been paying attention that much, and as the calming effect of (25/50mg) Carvedilol wore off (because I didn't refill it), the symptoms that I were really feeling started to show up in true form in sub-consciously going into hyperventilation when I was driving! This was one of the most difficult things I have ever had to handle in my life.

This is such a new thing for me. I had no idea that the brain had 'switches' that could be turned off and on like this so quickly as I have done. To stop driving here would have taken me out financially and I would have become destitute.

To reiterate - and to acknowledge @predictable 's support of using Carvedilol, I gotta say - this drug, for all I can tell is one of the best things for CHF patients, but in this dosage, is very powerful, and has side effects. I take like 10 different things for my condition, most are supplements like potassium, magnesium (usual stuff for diuretics), and if you met me you would never know I was living with chf. It's a testament to my cardiologists and medical tech these days. 20 years ago I figure people like me would be half dead already. I'm not and I work my ass off every day. I enjoy it.

As an example my daily dose of 50mg which is 2 x 25mg Carvedilol, literally makes my stomach muscles want to churn/spasm or tighten up. I used to think it was the hydralazine doing this, but now I know better. It also put a huge clamp on my psycho-issues with driving fear. I am so used to this, since 2015.

Honestly, I am so lucky I think. I have spent the last week talking with other ppl that deal with panic and anxiety attacks and stuff, none which take the meds that I do - and I figured out that this kind of thing can happen to anyone.

For me, and I must say it was awesome that I figured this out so quick!

It almost sounds stupid! Yesterday I changed my habits in driving and I started bitching at the other cars and trucks on the freeway thru atlanta like I'm a Rock God on the road and everybody else sucks, are immature, and is probably texting and doing facebook, like I'm better than they are. Crap this worked. I drove 60 miles through heavy crap traffic and never had a single episode of fear, or even impending hyperventilation.

Today did it again - only this time, I paid much less attention to being an alpha male ass (I wanna kick trucker butt), and thought about other things. Drove 120 miles round trip through atlanta. My confidence was back. Not even a hint of stress doing my usual thing.

There is a lot to process here. 1 week ago I was passing out on the side of the road - either that or having to stop because I was hyperventilating. Today I'm back to normal. I thank God for the revelations that have enabled me to gain control of my life again.

At 58 years old, this is the most insane thing I have ever dealt with.

Thanks for listening. Hope everyone is well.