<s>[INST] The last week I have been experiencing pounding inside my head, it feels like a pulse. and I have been short of breath sometimes. When I am falling off to sleep, sometimes it feels as if I cant breath, or that my heart skips beats. my head is pounding at the same time this happens. I do have bad panic attacks, but this is something new that had been going on for about a week. I am also very tired, a lot, unless I am depressed again, which I also suffer from. Does this sound like a panic attack to you? I usually get told that is what it is. [/INST] Hello Welcome to Chat Doctor The palpitations, breathlessness, headache etc. are symptoms of anxiety and panic attacks only. Severe panic attacks present with palpitations, sweating, tremors etc. are main symptoms of anxiety. Severe headache is also a presenting symptom. Chronically severe anxiety and panic attacks precipitates depressive symptoms. Due to this you are feeling tired and have loss of energy and fatigue. I would advise you to visit your psychiatrist for expert opinion about your condition. If headache is very severe then you can take over the counter analgesics like Paracetamol for relief. For relief of anxiety medicines like Clonazepam, Propranolol etc. are used. These medicines help to relieve the symptoms of anxiety. Medicines like Fluoxetine, Paroxetine etc. are used for treatment of anxiety. Consult a Psychiatrist for detailed prescription. Non-medicinal treatment in form of Behavior therapy and relaxation exercises is also very useful in anxiety. Thanks </s>