Long story short, I suffer from serve panic attacks and agoraphobia when I travel alone outside my home. Needless to say, this has greatly effected my self esteem as I feel dependent on others to do everyday things, like banking and shopping. I know my panic attacks stem from a fear of having a heart attack. I'm pretty strict about my diet, exercise 3-5 times a week (at home) and only drink water and orange juice. I've quit drinking alcohol to cover up my problems and have been sober for just over a month. However, it's the mental aspects I struggle with everyday. Although I've improved in recent months, I feel I've hit a brink wall and am in a deadlock with my stress. I tell myself constantly to "man the fuck up and power through it" but often I crumble under the pain and end up running for my "safe place". Bottom line, I can't take the physical symptoms of the panic attacks, mainly the chest pain and the racing heartbeat. I've been put on Effexor and Diazepam (among a couple others that escape me right now) in the past, but the side effects were horrible. I felt like a mindless zombie and still had panic attacks, only I was constantly tired and slept 12-14 hours a day. Is my only option to tough it out through the pain? I feel frustrated and worthless...any help or advice would be greatly appreciated. Cliffs: Basically, my negative thinking and constant worrying cause panic attacks, which in turn, trigger chest pain. Any suggestions?