I am male of 39 years old.I have had panic attacks since 10 years.I have tried many medications, breathing exercise,books etc. But my health is getting worse. When I get PAs I feel breathlessness, palpitations, choking, feel like going to toilet urgently,abnormal heart beat, heaviness in head,etc. I feel I will die of a heart attack or faint, lose control, or will have brain dysfuntion. 10 years back when I had my first major PA after all the necessary medical test I was diagnosed with PA disorder.At that time psychiatrist prescribed me 60 mg fluoxetine (Antidepressant) and 6 mg bromazepam (Anti-Anxiety). In 2 weeks I was in state of Mania and started talking a lot, and was feeling very high all the time. My PAs were gone. I did got major headaches and irritable mood with anger. But I felt on the top of the world.Then after 3 months my dose of fluxt. was reduced to 40 mg and brozm. to 3 mg. Then for the next 6 years my dosage was reduced on and off of fluxt. from 20 mg to 40 mg and brozm. from none or 1.5 to 3 mg. Uptill now I have done many EKG test, stress test, echo, chelestrol, glucose and many test they are all fine. My pulse is mostly around 65 and BP 70/110. Whenever I had PA I use to run to hospital for tests and they always came normal then my doctor told me to keep anti-anxiety tab in your pocket all the whenever you feel panicky take the tab and your anxiety will be over in 15 minutes. That worked for me and now rarely I have to run to the ER room.When I am at home I feel depressed and when I leave the house I feel anxiety. I feel anxious most of the time and can rarely work. I am fraid of driving alone, flying or being alone. My self esteem is very low since birth, I am very sensitive and perfectionist. Since last 4 years my doctor told me that since I was either in very high or very low mood I will need to take mood stabilzer Divalproex sodium 750 mg so that my mood doesnt fluctuate along with 20 mg fluxt. and 1.5 mg broxm. This drug has helped me a lot in my mood flutuations. But still I have lot of anxiety and depression in me.