Panic attacks with extreme dissociation
I've been experiencing severe episodes of dissociation/derealisation with my panic attacks for a month now, I've been diagnosed with panic disorder, general anxiety disorder since 2022 and adhd in 2025. What terrifies me is the dissociation/derealisation as they come with the panic attacks lately, the feeling comes in a wave that lasts for a few seconds and leaves me completely terrified. Starts with a randome spike of my heart beat almost like an electric shock to my heart, extreme hunger for air, chest tightness, dizziness and complete out of touch with reality type of feeling like who the fuck am I and am I even real??? I wonder if it happens to anyone else and I'm not losing it cause it feels very very lonely and I told my psychiatrist he has put me on some meds that help only when i take them as its perscribed to be taken on need only with my usual meds that i won't go into details of cause ive been on them for a while and they are fine. But if anyone here deals with same thing please let me know how do you cope with it, I even had an episode at work few days ago and had to ask for help. I'm an introvert, I didn't like that I had to let my coworkers and my boss know that I'm not feeling good enough to work that day, as they've been asking a lot about it as to what exactly happened to me. All replies are appreciated here btw especially experiences with dissociation/derealisation.