I thought you said panic disorder is something we need to solve within ourselves? But clearly that approach is not working for you. And it is generally not working for me during this flare. I've studied it for 2.5 yrs now and I'm not so sure it is ever simple. But you could try the SSRI and please report back! Could you list things you've tried?? Panic attacks can be caused by an overactive stress response. What is your diet like? I think I definitely react to foods and causes my nervous system to be on fire. Now to find out what those sensitivities are you just have to keep a very detailed food log which I've been doing now for a long time since this started. One thing that is very common in all them are things like chocolate, too much caffeine, too much protein like beef, in fact I think the beef yesterday is why my nervous system is crazy today. But it wouldn't happen so strongly if I was well fueled to begin with which I'm not. How many calories do you typically eat?
If I try Citalopram I'll make sure to let you know how it goes. I'm seeing my GP tomorrow so it's possible I'll be starting soon.
The point I wanted to make was that we can spend a lot of time on health forums at the expense of real self-examination. This was a realisation I had. I've recently been keeping a diary and I think the idea that maybe I should try an antidepressant has come from that.
I'm definitely getting enough calories and no matter what I eat, I'm still prone to anxiety. I've realised that the problem is not going to be solved by eating well. In my case, I suffered a massive trauma back in 2013 and I've basically never got over it. I've had better periods which were only possible because of Diazepam. I'm developing agoraphobia now, and need something which will profoundly alter my brain chemistry. I think antidepressants may be the way to go. Maybe in your case, fine-tuning your diet to identify possible triggers is what will work, but it hasn't for me. In fact the stress if trying to work it out has possibly made things worse, or clouded my vision.