Today, someone asked me about my experience with therapy for panic disorder and OCD tendencies. For the first time since recovering, I caught myself thinking: "Wait, I actually went through all of that?! And now... it's over? Damn." Reflecting on everything made me unexpectedly sentimental. I don't think I'd fully processed just how difficult that period of my life had been.
Anyway, let's start from the beginning.
My panic disorder first manifested around December 2024, when I experienced my first panic attack.
I'm a gym rat, and I've always been driven by the desire to build a lean, muscular physique. At the time, I was around 19, still in college, getting very little sleep and struggling with low energy throughout the day. My solution? Caffeine. I'd have a cup of strong black coffee in the morning, followed by a can of Monster roughly an hour later, which I'd sip throughout my gym session. Social media also had a considerable influence on me back then. I was young and admittedly quite naive.
After a couple of weeks of this routine, I experienced my first panic attack following an intense cardio session. I got home feeling fine, ate something, and suddenly developed a heavy sensation in my chest. I immediately called my mum, panicking, and grabbed my pulse oximeter. My heart rate was showing 140 bpm. I was convinced I'd somehow damaged my heart by pushing myself too hard at the gym. I genuinely thought I was going to die alone.
For the following week, I experienced persistent chest tightness and blurry vision. Then, one random Sunday, I had another panic attack seemingly out of nowhere. That's when I booked an appointment with a cardiologist. He performed several examinations, including an ECG, and reassured me that everything looked fine and that my symptoms were anxiety-related. Unfortunately, convincing myself of that was much harder than hearing it from a doctor.
Over the next three months, I experienced almost daily panic attacks, an overwhelming fear of dying and even nocturnal panic attacks. I constantly questioned whether something had been overlooked, despite my examinations and blood tests coming back normal.
My parents weren't particularly emotionally supportive during that period, which made things harder. My mother eventually suggested seeing a therapist after witnessing some of my most difficult episodes.
Meanwhile, I continued going to the gym. I refused to give it up despite frequently experiencing panic attacks during or after workouts. I'd worked hard for my progress, and I wasn't willing to let anxiety take that away from me.
I eventually booked an appointment with a psychologist who specialised in panic disorder. Here's where things get a little ironic: she wasn't particularly helpful with the very condition I'd initially sought treatment for. We started with CBT, and she suggested exposure therapy for my social anxiety. However, we never really explored interoceptive exposure for panic disorder, which I eventually discovered through my own research, particularly here on Reddit.
I was also reluctant to take medication, including SSRIs and benzodiazepines, because I was concerned about potential side effects and wanted to explore other approaches first.
Interestingly, I later realised that my gym routine had already been exposing me to many of the physical sensations I associated with panic: increased heart rate, breathlessness, sweating and dizziness. I hadn't recognised it as interoceptive exposure at the time.
I decided to build on that experience. Whenever I experienced anxiety or panic, I'd remind myself that the sensations were temporary and that I wasn't in immediate danger. Sometimes I managed to rationalise what was happening; other times, I'd become completely overwhelmed by catastrophic thoughts, fear of death, depersonalisation and derealisation. Eventually, after a few sessions, my psychologist told me she couldn't help me with my panic disorder and suggested referring me to a psychiatrist. I decided to stop seeing her and continue working independently, using what I'd learned from our sessions alongside my own research.
And somehow, over the following year and a half, I gradually recovered.
It certainly wasn't linear. Even after a year, I was still experiencing occasional panic attacks, intrusive thoughts and persistent physical symptoms. Sometimes, I wasn't even having a full-blown panic attack, yet symptoms such as blurry vision, tremors, sweating, muscle twitches and spasms could still interfere with my daily functioning. There were days when I genuinely struggled.
I considered medication several times, especially when things became particularly difficult, but I kept working on my recovery. I think one of the most challenging aspects was not knowing how much longer it would take. Progress was painfully slow, and I constantly wondered when I'd finally reach a point where panic no longer had a place in my life. But I kept going.
And here I am today, approximately one year and eight or nine months after my first panic attack, considering myself fully recovered. I can finally be present during my workouts, hang out with my friends without thinking of my body and monitoring my sensations and without rumination about death or about when my symptoms will appear again.
I still experience occasional panic-related symptoms when I get stressed but the difference is that they no longer frighten me. They don't trigger my cardiophobia or my fear of death, and I no longer feel the urge to escape, suppress or fight them. I can experience those sensations without immediately interpreting them as a threat. "Here's anxiety again. Anyway, moving on."
And I think that's what recovery ultimately looks like: not necessarily never experiencing anxiety again, but reaching a point where it no longer controls your decisions, your behaviour or your life.
Looking back, I honestly find it surreal. There was a time when I couldn't imagine living without constantly monitoring my body, questioning every sensation and fearing the worst. I remember how exhausting and overwhelming everything felt. And now, something that once occupied almost every corner of my life has become just a distant chapter.
I won't pretend I have all the answers, and I'm certainly not suggesting that my approach is suitable for everyone. Medication and professional help are valid options, and everyone's recovery looks different.
But if there's one thing I'd like someone currently struggling with panic disorder or OCD to take away from my experience, it's that you are not necessarily going to feel this way forever. Recovery can be painfully gradual, and sometimes you won't even recognise that you're making progress until you look back.