Tomorrow my husband is taking me away from home to the pain clinic 70 miles away to get back injections. Not only do I have to leave home and see people I am scared of having a panic attack from the steroids in the following few days. I am trying to do the deep breathing but am so tense and dizzy and my chest feels tight. I have had a heart Catholic a few years ago and know the condition of my heart so I am not afraid that it is my heart. I used to be a nurse and have actually helped doctors treat severe panic attacks and heart attacks before these things started happening to me. So I have a knowledge base which I use in managing how panicked I get. But it still feels so horrible. My most real threat from prolonged severe anxiety is high blood pressure, which I have. At 57 years old, with my risk factors a stroke is a more likely risk. Still, knowing what my body is doing does not help me make it stop. What do you guys do to manage symptoms without medication?