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KittyKat,
I have been suffering from panic attacks and seeing a therapist for for years. My best advice: visualize the situation before it occcurs and try plan what interventions will you take if a panic attack happens. Try to identify what triggers might set you off, and how you might cope with them. Breathing is a good way to get through anything that might seem to be or similar to a panic attack.

In my experience, what I have found is that the best way with dealing with anxiety that consumes your body in the form of panic attacks is to be prepared and know what set of tools you are going to use to get through them. Does this skill work perfectly for me, no, but I have been meds. free for several years now and the attacks seem much less frequent and subside much more quickly.

And, most importantly: communicate this to your midwife! This is a medical condition that she must need to know about with you. Even if you have already brought it up and she seems to have forgotten, bring it up again! Let her know that this is a serious condition for you and it needs to be addressed... you are already deeling with the anxiety of having anxiety (the story of my life!)

Good luck!

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