@CyclePath the NICOE program is good, been thru it, but also keep in mind they, for me, overreacted in some cases especially the meds. They will put you thru a whole lot of special scans and tests, but you will come out knowing what is really going on in your mind and your body. That in itself will be a great start for VA eval process. The comments above hit he nail on the head, continuing to ignore it or fight it can make it worse, it will come out and with a vengeance. Let it out, it is good. Be honest. In addition to some recommendations above, bio feedback sessions can also help control your triggers and anxieties. I get those same panic attacks and thought for years I was having heart attacks. We are with you and I get the concern about effects on career,, but it is time for you to take care of YOU. You can do this. PM me if you want/need more info on the NICOE program.