** Thanks for contacting with your health concern 1. A panic attack [of anxiety] is usually associated with tremors, palpitation, sweating, feeling of shortness of breath, sense of choking and gastrointestinal problems, so in your case [23 years], which means young patient the symptom wise approach is: i. because the choice of medicine will vary from doctor to doctor, and from locality to locality, so initially remain under single supervision and let your body know about the effects of the drug prescribed and thereafter one can change/add or substitute a drug [in consultation with your psychiatrist]. 2. Eat a healthy diet, stay away from caffeine, alcohol, spices, pickles, drink green tea, take apple, banana, dates, practice relaxation techniques like yoga, meditation, and Pranayam 3. Since drug therapy is generally only a palliative treatment, we have to look at cognitive and behavioral strategies and especially nutritional strategies.