Holy Cow! Small steps, HUGE changes. I've had some medical problems recently, and it forced me to evaluate my life. When i finally realized what was important in life, I also realized I didn't have any of it, and it set me off for over a year now of misery, and my panic attacks were just about daily, mulitple times a day, out of nowhere and unrelated to my fits of depressive thoughts. I thought they were a part of my medical issues, but I researched, and now know this is what i am dealing with. As soon as I recognized that, i re-evaluated what i just thought was "stress" or fits of feeling sorry for myself are actaully a catalyst for anxiety...manifesting in the spontaneous attacks, not the hand wringing, obsessive picture i had in my head of what anxiety meant. The more i accept this is my life, its ok, and i will build on it, and get to what i know if important, the less i have had my attacks. My brain has been "fried" for a year dealing with chronic pain, lonliness, and lack of direction. Just saying "so what?" I can fix all that in time, I see a significant decrease in attacks. I don't have to keep fighting all of this. It is what it is! So what??!! I feel liberated in the acceptance.