First, when you got to the ER, you're only getting enough care to keep you alive. The docs there expect you will then go see your regular doc to get a more thorough exam and diagnosis. You also don't say how old you are now, but most experts believe that childhood trauma and anxiety are not the same as adult anxiety, which can come from childhood trauma that one has suppressed, such as abuse, but for most of chronic anxiety sufferers comes seemingly from nowhere at all. At a certain point in life, usually starting in late teens and lasting until late twenties, that's when most people who are going to get chronic mental disorders get them. Nobody knows exactly why because nobody knows why anyone gets chronic anxiety -- you can put hundreds of people in very stressful situations and only a few will develop chronic anxiety from it, so it's got some other thing going on as well. Right now it sounds like this sudden uptick in anxiety has stung you badly, and you're not able to relax back down from it. But that doesn't explain why you got the original uptick, which could be something physiological. We can't say. Given what you're going through, I'd see my doctor and, if nothing appears to be wrong with you physically to cause this, if you're that upset you should probably ask to be referred to a psychiatrist and also a psychologist for therapy. But you do need to find out if something is going on physically with you. Another thing to consider is whether something happened around that uptick that might have triggered this. The fact you've been prone to anxiety for a long time, though, might indicate that even if there is something physical going on you have the unfortunate aspect that we have on this site of internalizing stressful things and magnifying them, so there's probably an anxiety problem going on. Do you have a regular doctor to see?