### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, Im Tyler and Im 18 and have had panic attacks since I was in 7th grade. My mother had them when she was pregnant with me. Over the years my panic attacks have gotten worse and worse. My freshman year was the worst and I wasn t able to leave home due to a 2 day long panic attack. I have attended a pyschologist and a psychiatrist for my problem and they have gotten better, but I think that is from staying away from the primary areas where I had panic attacks in the past. My panic attacks make me deathly afraid of thinking about places that are far away, heights, and going into wide open areas. They started acting up again, badly, when I went into a huge recreation center that was wide open. Now they are happening again regularly, especially at night. I am on citalopram and clonazepam and have tried exposure therapy, but I cannot get these panic attacks to at least turn to something smaller that I can handle. Any clue on what I can do?

### output:

Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely opine that the problem you are facing now is of your own creation. Panic attacks happen mainly due to underlying anxiety. You are escaping from those areas where you get panic attacks. You are being apprehensive about those areas. This apprehension and anxiety, you should a Chat Doctor.  Psychotherapy should help you to streamline your lifestyle and management of anxiety. Yoga and meditation should streamline your metabolism as well as your thinking style, helps you to relax. Consult a trained psychologist. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck.