I swear I don't feel depressed, but I do suffer from panic and anxiety attacks when I'm in public. People accuse me of being depressed though because they say they go hand-in-hand. But I truly do not feel depressed. Is that possible?

Hi, sorry to hear you are feeling so bad. Yes, it is perfectly normal to have anxiety without depression. The following steps will eliminate (or at least significantly reduce) your panic attacks:

1.Breathe properly – if you control your breathing, you control panic. As soon as you notice the signs of anxiety, check your breathing: breathe in slowly through your nose pushing your tummy out (to the count of 5 or so). Breathe out slowly and for a bit longer (to the count of 7 or so) through your mouth. Do not breathe rapidly or shallowly (in the chest area). This will soon restore the balance of oxygen and you will feel a lot better.

2. Cognitive Behavioural Therapy! CBT is proven to be the most effective thing for panic attacks, OCD and anxiety etc. It takes a bit of work, but it is super effective. (After 15 years of panic attacks, mine stopped completely). You can speak to your doctor about taking a course or you can take a course for free online at: www.livinglifetothefull.com

3. Try relaxation exercise tapes (progressive muscular relaxation). They really make a difference if you practise often enough (i.e. twice a day). They will also help you sleep better if done at bedtime. You can get free downloads online. E.g.: http://www.studentservices.utas.edu.au/counselling/audio_resources/index.html

With each step practise makes perfect. (i.e. practise the steps every day, not just when you are feeling bad). I hope you feel better soon. Best of luck!

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