@sandytoes14 The first panic attack I had was when I was going on my first vacation ever at 40 yrs of age. We were on the highway and I had to tell my husband to pull over. I was about to open the door. I had no idea what it was. Since then I noticed any new happening in my life I would get them. Most the time I can handle them but this last few times have been from trying to quit smoking. I am on the nicotine patch and after about two weeks I had my first one from that. My chest gets tight and its hard to breathe. I have been on depression and anxiety medication most my adult life because of a bad childhood. Being in a car causes panic attacks all the time. Short trips if I am driving is ok. Short trips like a mile or two. No highways. Its hard because I have to keep all my appointments as close to home as I can. Raising my grandbaby has caused some panic attacks, mostly anxiety from nervousness.