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I've always had general anxiety, but for the most part it's been managed by klonopin and lexapro. But in the last two weeks, I've had two anxiety attacks. I feel like I am going to faint. I'm shaky, I break out until a cold sweat. Breathing is harder...after taking a klonopin, it eventually goes away.

What disturbs me is how I have no idea what precipitates it. Or how to prevent it. It's like it sneaks up on me. I just started acupuncture and have been seeing a therapist for over a year. I do a lot of public speaking, and while I usually get a little nervous beforehand, I've never actually had an anxiety attack-- until last week when I started to have one mid-way through my presentation. I made it through, but it was agonizing. Waiting out the attacks is scary for me.

Does anyone have any tips on how to either cope with the attacks or prevent them? As I feel one coming on, I try to talk positively to myself and say, "I can handle this!" But the physiological response ultimately wins out and I feel powerless. I have done guided imagery/relaxation for a while, but ultimately all these things don't seem to help me as much as I need.

Now I'm worried that I'll have anxiety attacks and it will interfere with my social life, work, etc. I'm at a loss, as this is happening more frequently and I don't know what to do.....any thoughts?





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