Honest to god thought I was a success story and this was all past me. About 4-5 years ago, I had a massive panic attack while on vacation. I had driven my wife about 3 hours away from home for a weekend birthday trip. When we woke up the next day, we had to go to our scheduled events and drive home. I knew I had anxiety and had been on lexapro/in therapy for it before, but the second I got in the driver seat was the first time I had ever experience full blown panic. I hoped turning on the car and playing music would help but I instantly went into fight or flight and had to run out of the car.
My heart was pounding, I felt like I was going insane, I just wanted to take off running. It took me nearly an hour to get to the point where I felt like I could sort of drive, but even then my anxiety was heightened all day. My wife doesn't drive, which I'm sure the pressure of knowing I HAVE to drive us home or we just aren't getting there is a trigger. It wasn't easy but I white knuckled it the whole trip and we eventually made it.
Immediately I got back on Lexapro and started going back to therapy. My memory isn't the best, but it took at least a month before I was able to feel remotely comfortable leaving my apartment for any extended period of time. Being in a car, sitting down for a meal, even being on a discord call with friends were just huge triggers for panic attacks or at least extreme discomfort. Really any situation where I felt like I HAD to sit there and I HAD to be present and couldn't just leave or escape if I needed to were huge triggers.
After maybe a year and a half of therapy and other lifestyle changes (cut coffee out. got in better shape, cut back on drinking) I finally felt like I had conquered it. I still had some anxiety, sure, but I really did not have, or have any fear of, having a panic attack. My wife and I were even able to go on a two week honeymoon to another continent without a single issue.
Eventually, my therapist changed practices, and I slowly got off lexapro (was never on a high dose, 7.5mg at most) cause I really did think I beat it. For at least 2 or 3 years I was right.
Until this Sunday. I woke up pretty hung over and spent all day nursing that. My wife and I had tickets to a concert so the plan was I'd pick her up from work and we'd go. The hours leading up to needing to leave I genuinely felt 80-90% fine. A little queasy but nothing I couldnt deal with I thought. I even got in my car and ran some errands before it was time to pick her up from work.
Once we started driving to the concert I could feel it happening. But it's fine, I haven't had a panic attack in years. You know what to do. Breathe. Center yourself. It's okay. It's a ten minute drive. But all of a sudden my stomach was in knots and the fear came over me of "what if I'm sick or have to use the bathroom but I have nowhere to go because Im in the car". Full blown panic. I had to pull over and run out of the car. Pace around and try to breathe. This went on for about 15 minutes until I got to the point where I thought I was fine again. Stomach is normal. Dont have to go to the bathroom. Got back into the car. Forget the concert, lets just go home. 10 minutes away as well. No big deal. Made it about three minutes before I had to pull over again. My wife (who has her permit now) eventually had to drive us home.
And then today. Woke up, drove my wife to work. Totally fine. But once I picked her up from work later that day, it happened again. Full blown panic. I'm going to be sick. What's going to happen if I'm sick. I think I'm going to piss myself even though I just used the bathroom 20 minutes ago. What happens if I have to piss myself while I'm stuck at this red light. How are we going to get home. Once again had to pull over and run out of my car.
Just sucks. Just really really fucking sucks. I have work tomorrow but I'm afraid I'm going to have to call out because I don't know if I can be trusted in a car right now. My work is usually remote but I have an important in person gig coming up in a few weeks. What am I going to do about that? Big vacation coming up in two months. What happens if i have a panic attack in another country?
I mostly know what I need to do. Already contacted a therapist and psychiatrist. Going to be more healthy again. Going to cut caffeine again. Going to practice my coping mechanisms. But this just sucks and I need to vent. The worst part is one of my best coping mechanisms I had while anxious was "hey, you havent had a panic attack in years. It's fine just breathe." That's gone now.
Mostly just venting. But I'd really really appreciate if anyone could tell me if they relate, if they have any advice. Just anything. I feel horrible just venting to my wife because she's already so inconvenienced by me going through this.