Sounds difficult, I'm sorry for you and all the others. My friend suffered from them, and they put her on Paxil, or something similar for awhile, and it helped her alot. Her doc told her that avoiding situations, first , then, recognizing the symptoms for what they are. Instead of trying to fight them, recognize as, OK this is another panic attack, I know it won't kill me, I know I have to get my mind in another place. Kinda like talking herself out of them, and at the same time, recognizing them for what they are. Also, her doc told her excercise regularly, no alcohol, and ativan for the especially bad times. Too, that man has alot of built up adrenaline we don't use anymore. Like in the old times, man had alot of situations where he really needed 'fright or flight' to stay alive, and in today's world, we don't have as many (you know like, in the cave man days!!! man had a lot more imminent physical danger) So, we were wired with the capacity to experience those surges for a reason. So, excercise makes sense, so, we get rid of pent up adrenaline in a healthy way. It made alot of sense when it was explained that way. Good luck, hope you get ahold of things soon. Life is for living, not fleeing.