i was diagnoised with panic attacks at the age of 14 (i am now 28) and was put on Tofranil for about a year and was taken off at the age of 15 and several years went by and maybe had one panic attack every other week...well at the age of 22 i started the panic attacks all over again but they were worse...i had them everyday maybe 2 to 3 times a day i felt as if i was about to die and when someone would talk to me it sounded as if they were in a tunnel and their voiced echoed and i also felt as if i were "out of my body" this went on for a few years and then i finally went to a doc about this and he rxed me Lexapro which is helping me very well...and this doc even gave me some pointers on how to control these attacks and stop them quickly....so i will tell you guys and maybe when you have one you can try this at home...he told me once i felt one comming on to go to the bathroom or anywhere that has a mirror and just stare at myself in the mirror and keep telling myself i was going to be fine, that nothing was going to happen to me and after looking at myself in the mirror and seeing myself and know i wasnt dying it would go away...after doing this many times the less i would have them and when i did have them they lasted no more than 5 min...now i havent had a panic attack in about 3 years and if i feel myself working myself into one i will relax, and either go sit somewhere quite or do my little mirror thing...the doc pretty much told me that me,my mind could over power those horrible panic attacks and he was totally RIGHT!!! i can and still do...so please try this to all of the panic attack suffers and let me know how it goes....sorry for the long post and i know it was off topic but if you can try and do "mind of matter" its a heck of alot better then taking meds...good luck!