This is far more complex than that, it's a lifetime capped with a horrific tragedy that I've been dealing with for almost 14 years and my mind is giving up. I've tried six medications, sophisticated present day medications, I'm not depressed, this is full out my life is over but I'm still breathing stuff. I am totally unaware that there is a panic attack occurring. I attribute it to something physical which it might very well be since I do appear to have a possible interaction between my vertebra and a specific conduction canal. But instead of thinking, oh there it goes again, how annoying (and it isn't remotely life threatening btw) I think nothing and my subconscious mind goes to work. My blood pressure sky rockets. Real mental illness is often totally not available to the conscious awareness of its victim, shockingly. Panic attacks are a symptom of emotional dysregulation and I've never had anythng like this in my over 70 years of life. It's not going to be easy to find a medicationI can tolerate that will address this, I hope this psychiatrist I'm consulting soon has sufficient understanding of psychpharmacology because I'll be honest, I haven't met one that does and I've met quite a few for my daughter and then for myself trying to survive her death. Which I no longer want to do.