Once I walked into a store, felt fine, but when I went to the checkout counter suddenly I became very self conscious. My self talk happened so quickly from habit, I don't remember what it was, but I bet it went something like the following: Gosh what does that person think of me, Oh no I'm scared, does she notice, will someone else see me "melting down," oh noooooooooo!!!!!!. It sounds pretty silly and funny now, but at the time it was terrifying. I felt like I was wrapped in cellophane. It is very frustrating not being able to control this and it is very discouraging. I'm sure people regularly contemplate committing ѕυιcιdє to escape chronic panic attacks.
On the other hand, looking back on that time, many years later, it seems as if the problem really was of my own making. I can't say it was a medical problem, diet or nutrition. I really seems to me like it was a matter of being a very self-centered person. I think the proof of that is any time I start feeling self conscious, I just start focusing on what others are saying or doing (I like to focus on something I like about someone) and the feeling of self consciousness goes away.
Aside from that, obviously this is about fear and that is ultimately resolved through prayer. Also, discouragement is as well. I do think you have to get real about how self-centered the whole thing is and how selfish that is. We aren't called to focus on ourselves all the time; we're supposed to be "dying to self."
I used to get very bad panic attacks, but I don't anymore.