Hello, You can leave medicines. Firstly, you have to decrease the severity with the medicines. When the severity can be arrested, Psycho Therapy and Cognitive Therapy sessions can be started. You can go to a Psychologist. When the severity will be arrested, please check with psychiatrist whether he/she has approval. You can do some Breathing exercises. You can do this in two ways: Slower Breathing Right when you think you re going to have a panic attack, train yourself to slow down your breathing. Breathe in for at least 5 seconds, hold for 2 or 3 seconds, and breathe out for at least 7 seconds. Make sure you re breathing in through your nose and either out through your nose or out through pursed lips like you re whistling. These won t prevent panic attacks, but they ll make them far less severe. Retraining You should also take time out of your day to practice this type of breathing method even when you don t have a panic attack. Panic attacks and anxiety train your body out of its normal breathing pattern. Taking 30 minutes out of every day to practice this type of breathing can help your body relearn how to breathe this way, and should make you less likely to hyperventilate in the future. Then, try to stop caffeine if you use. Try to have some herbal tea like chamomile tea. Follow the guideline and take an appointment with a psychologist for counseling. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dipan Samanta, General & Family Physician