I am looking for advice on ways to treat my type of anxiety.   I had my first panic attack in 1999 at my Highschool graduation.    At the time I was taking the old ephedra stack and that caused an elevated heart rate.    We were stuck inside due to storms and it was hot.  I was in the middle of the row and started realizing my heart was pounding out of my chest.   I soon started thinking OMG I am going to die in front of everyone and this cycle would start... stop... and eventually I had an adrenalin dump and  I made it through.   

&amp;#x200B;

Since that one I have seemed to have them only when I feel trapped.   I get them on planes... I will get them at events where I cannot get an isle seat... at weddings and funerals I need to sit near the back or I will get them.    Just recently this started affecting my career.   I am up for a promotion and am thinking about turning it down because it requires a promotion ceremony where all the promotions have to give a speech in front of all the various heads of our company, families, and co workers.   To make it worse you are up on a stage so I have mentally been thinking how horrible of a panic attack I will have.    I have never taken any medication because I can control my triggers... on planes I get aisle seats..  I avoid sitting where I feel trapped.   This I cannot pick where I sit... and if I turn this promotion down I will never have the chance again.     Is there anything I can take that will not make me feel like a zombie but just kills those physical symptoms,  racing heart, feeling like I am going to puke... getting dizzy... sweating ?   Thank you