I started having panic attacks spontaneously at age 13.
There seemed to be no psychological reason for them, but, it did lead to fear of losing control
in public, which lead to agoraphobia and travell became very difficult.
No one thought about autism back then so I was diagnosed with generalized anxiety.
I gradually got better by age 18, but, the worry of those attacks stuck in my mind.
I went to University and had a short lived career as a pharmicist regardless.
The spontaneous attacks returned later in life and I was put on disability for them, plus
physical problems with my back.
The doctors found I had an HPA axis disorder that was causing what they called the invisible tiger.
Nervous system and brain chemicals which I couldn't control.
I'm 64 now and hardly ever have an attack.
Years of CBT therapy, learning relaxation techniques, guided imagery and daily time outs for meditation
is how I finally worked through it and built up my confidence in knowing I could handle it
if an attack happened in public or alone.
I have taken Xanax as a regular part of the course for many years.
Never had to increase the dose, in fact, brought the amount down some, but, no problems with it.
I'm very mindful with that.
It's just all been a part of life for me that I had to learn how to live with.
You have to find your individual path. And welcome to the forums.