 What's your trigger??
This is nothing new as far as threads. Just a reiteration for any newbies (and vets) to the forum.
It could be driving long (or short distances). Although you do have some degree of control over p/a during this action.
Planes, commuter trains, buses, and other forms of public transportation often trigger p/a, due to the lack of control over the situation.
For some, its emotion that triggers p/a.
Here's a biggie: Physical symptoms. For example, heart palpitations. For one, something a person ate or did that caused this will possibly bring a hurricane of p/a.
Just to name a few. Its a vicious cycle.
We are exposed to a trigger, then comes the p/a, then comes the symptoms, then increased p/a, then stronger symptoms, more intense p/a,.................on and on.
How can one cope? CBT is one way. As a last resort in my opinion, medication.
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