I was diagnosed with Panic Disorder , in my early 30 s. Since then I have suffered from Panic attacks frequently, most attacks occur closer to my menstrual cycle. With that said my symptoms have changed a bit and it worries me. I wake in the middle of the night with my heart racing, hard to breath and feel a sense of urgency to use the bathroom; but nothing Comes Out ! I then proceed to sit on the couch in hopes that it will go away, I them start to tremble EVERYWHERE; like a mild tremor and it s hard to talk. Lately when I lie down for the evening, I feel a flutter sensation in my chest, as though my heart stops and then begins again?! My blood pressure fluctuates, possibly because I take it often enough, but mostly when I am awaken in the middle of the night! My heart beats really fast and my blood pressure had reached 195/? I do not smoke, drink nor use and recreational drugs or take any medications. (Alcohol, makes my heart race, and I feel as though I ll faint) I am 5 10 260 lbs. This is NOT fat however, I am big boned hike everyday and carry more muscle then fat (Most of my fat is around my thighs, bottom and stomach). I am a 34 year old female who has a past of severe trauma and abuse as a child. If I were to diagnose myself I d say: Panic disorder, pre hypertension, due to the sharp pains I get at times in my head. perhaps positional arrhythmia disorder, definitely some sort of arrhythmia going on here. I am waiting for my medical to go through, this is why I am resorting to this site. Any help would be great. Thank You