<s>[INST] Dear doc:I have a history of asthma and panic attacks but have recovered from asthma since i entered adulthood.Due to extreme stress  lately, my panic attacks are always followed by an asthma attack as well.Sometimes, the reverse happens. This condition interfers with my life greatly and i have been more depressed as well. [/INST] Hi, I can understand your distress associated with panic attack and asthma. Panic attacks can often present as severe breathlessness and can mimic asthmatic attack. You should be initiating treatment for both conditions. For treatment of asthma, you should seek a pulmonology consultation. Depending on the frequency of attacks, you can be either put on prophylactic medication or can be prescribed inhalers. In addition, you should seek a psychiatric consultation for panic attacks and depression. Treatment with medication like sertraline or paroxetine would be beneficial. You can also learn some relaxation exercises like deep breathing and progressive muscular relaxation which will help you relax. I do hope that this information was helpful. Best wishes. </s>