See the techniques for control of panic attacks, in section 8, in my website, at ezy build, below, which I created to contain all the information that there isn't enough space for, here. Begin, on this first occasion, only, by holding your breath for 5, or 10 seconds: this will give you the confidence to realise that YOU CAN CONTROL YOUR BREATHING, but not pass out, or die (your autonomic nervous system resumes breathing, if you become unconscious). Understand panic attacks, and what triggers them, in your life (if it is unresolved anxiety, or stress, see sections 6, or 42, respectively). The paper bag method works for most people: try it.
If you are fairly suggestible, the following are reliable: http://www.hypnosisdownloads.com/
Your last alternative is psychotherapy, to address its fundamental cause: read section 1, and examine the http://1-800-therapist.com/ website, and use the locators, and phone book. I used to suffer from panic attacks, until I questioned what had changed in my life, at, or just before that time, to trigger them. For some people, this is enough. These days, I have instilled the habit of, whenever a situation occurs where panic is likely, I visualise a large, "STOP!" sign, as vividly as possible, followed by repeating to myself: "stay calm" in my mind. You could try the same method. It usually takes 30 - 40 repetitions, for most people, to establish a new habit. I also suggest that you learn, then practise the controlled breathing technique, until competent, then employ it, at the very first sign of a panic attack.
Practice one of the relaxation methods on pages 2, 11, 2c, or 2i, daily, and when needed. Also, give the EFT a good tryout, to see if it helps you. There is also a version for use in public places, (if you like, you can claim to have a headache, as you massage/lightly tap your temples, but you would then be restricted to subvocalising: saying it to yourself in your mind). Section 53, and pages 2, 2.q and 2.o at http://www.ezy-build.net.nz/~shaneris also refer: "Even though I sometimes suffer from panic attacks, I deeply and completely accept myself." Note: the controlled breathing only helps with the symptoms (as do medications/herbal remedies): you need to address the underlying cause, and this requires some form of therapy, and Cognitive Behavio(u)ral Therapy has proved effective.
Advice from a published psychiatrist on controlled breathing. (1.) Get a clock, or watch with a second timer. (2.) Practise for 5 minutes, 4 times daily, until proficient. (3.) Take a small breath in, and hold it, for 6 seconds. (4.) Think to yourself: "RELAX", just before breathing out. (5.) Try to feel a sense of releasing tension, as you breathe out. (6.) Breathe in for 3 seconds, then out, for 3 seconds. Try to make your breathing very smooth, and light, as you breathe in through your nose, and out through your mouth, or nose. (7.) For the next minute, continue to breathe in, and out, every 3 seconds. (8.) Go back to step 3, at the end of the minute, and proceed through to step 7, doing this for 5 minutes. Use this at the very first sign of a panic attack starting, or any time you feel anxious, or tense.
Because many people can't access/afford professional therapy, I include the EFT, and EMDR variant for them to try, free of charge. Cognitive Behavio(u)ral Therapy is generally available in most areas, but EMDR (see section 33) may well be worth trying, and is becoming more widespread. (The following is a variant of EMDR therapy, which has been used successfully for those people suffering from Post Traumatic Stress Disorder, insomnia, and anxiety: it is easily learned, quick to use, yet can be very effective. It is currently the subject of much study by neuroscientists, to discover how it works. Don't dismiss it, merely because it seems a little strange: give it a tryout!). Prior to using either of the methods in the above paragraph, or using it on its own, first sit comfortably, and take a deep breath.
Then, without moving your head, move your eyes from the left, to the right, and back again, taking around a second to do so (say: a thousand and one: this takes approximately a second). Repeat this procedure (without the words, although you can count, subvocally if you like) 20 times. Then close your eyes and relax. Become aware of any tension or discomfort you feel. Then open your eyes, and take another deep breath, and repeat step one, closing your eyes, and relaxing afterwards, in the same manner. Then, repeat the procedure one last time. Some people may find that this is all they need do. With experience, you may find that you can practise this in public, with your eyes closed, which greatly widens the window of opportunity for its use, and avoids attracting unwanted attention.
It may also help to minimise, or eliminate sugar, and caffeine products from your life. Xylitol, or Stevia is preferable, (health food stores) or fruit sugar (fructose, such as "Fruisana", from supermarket sugar aisles) or even a little honey, because these will reduce "sugar spikes", which later deplete you of energy. Minimise/eliminate consumption of highly processed foods, particularly grain products, such as white bread, donuts, cake, cookies/biscuits, or anything with sugar. Opt for more wholefoods, non-starchy vegetables, and fruit. ~~~ View the information and weblinks for social anxiety/shyness, and self confidence, in sections 9, and 38, at http://www.ezy-build.net.nz/~shaneris Here is an exercise that can help you. It is called "Act as If." When you are in a social situation, act as if you are outgoing. Talk more, smile at everyone, ask questions, speak in a normal or excited tone, not a meek tone. Watch some of your outgoing peers, and imitate the style of their social behavior.
Research shows that when you "act as if" continually, your image of yourself begins to conform to your new behavior. In this case, you will gain self-esteem and self-confidence, and begin to see yourself as socially normal, not shy. You will become more socially successful, and this will motivate you to continue your new social behavior until it becomes a habit.
Try this for a month, in every situation you can. I am confident that you will become much more comfortable and outgoing. One form of therapy is to go somewhere that nobody knows you, and deliberately make an utter fool of yourself: put on a paper hat, and scream out: "I'm queen/king of America!", or something else ridiculous, then get back in the taxi, (warn the driver of your intentions, first) or car, and leave. People will point, and say: "Look at that idiot". But, you're probably not up to the stage where you can do that, yet (I can, and I used to be shy). Regard it as your final test: once you have accomplished it, the barrier will be broken; just don't go too far, the other way! Learn to laugh at yourself, and give a big, cheesy grin when others see you do something foolish, as we all do, occasionally. It is endearing, if you don't do it too often. Use positive affirmations: for example: "I am very likable and other people feel comfortable around me".
Write down all of your self limiting beliefs; then write down the positive counter of them, (exact opposite) and repeat them and imprint them into your mind.
Most importantly: Force yourself to approach somebody and initiate some sort of communication. Start out small by asking the time and directions and gradually go bigger. Rewind your mistakes. Let's say you want to change an annoying laugh that you have, when you hear something funny, your old laugh will come out. You have to immediately think of what you wanted to happen, (i.e. your new, practiced laugh) and then do it immediately. It will be a little bit late, but slowly you will start to pair the two together, and eventually your brain will become conditioned to switch the first for the second. It usually takes 30 - 40 repetitions, to instill a new habit, with most people, so I estimate a similar amount, in the reprogramming process. ~~~ Consider getting the recommended book, or CD's, (the DVD's are expensive) after viewing the extensive email material, and check out section 9 systematically. Realise that you have been indoctrinated from a young age, and may possibly require de-programming, should the above prove insufficient. You should know, in several months time. I'd first try Neuro Linguistic Programming: locators are in section 1, or use the phone book, to contact organisations of psychologists & psychiatrists, etc.