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What's the best treatment for panic disorder -the debilitating condition which robs you of your independence and in some cases confines you to your home?

Many doctors would say there are just two choices: medication or therapy. But there's an argument that all that medication does is to dull down the sensations without removing the cause, and that therapy can sometimes reinforce the existing problem. As every case is different, it's impossible to prescribe a single remedy that will work for everyone, and it's true that methods such as behavioral therapy have been known to work in individual cases.

Oscar winning actress Kim Basinger said she had psychological therapy for her anxiety, and this was successful in resolving her problem. But that wouldn't necessarily work for everyone. The extent to which the condition affects people can range from simple shyness-which most of us have experienced at one time or another-to panic and anxiety attacks where you literally fear for your life.

If shyness is your only problem, you''re in good company. Notably shy public figures in history have included Abraham Lincoln, Thomas Jefferson and Ulysses S. Grant. Who could imagine an American president could suffer from this?

Or, for that matter, a chat show host? Both David Letterman and Johnny Carson have admitted to shyness. Was it perhaps the case that they were able to overcome their (relatively mild) affliction by forcing themselves into situations where they knew, at least to begin with, that they might feel uncomfortable and ill at ease?

Shyness, however, doesn't result in the distressing-and often very alarming-symptoms which can accompany a panic attack. These can vary from shortness of breath to palpitations and the feeling that you might be having a heart attack or losing your mind. Neither of these dramatic outcomes is at all likely (and there's no proof that either has ever occurred), but this doesn't lessen the traumatic effect they have if you experience them.

Evidence is emerging that relief from panic disorder may lie in consciously reprogramming your mind to change your perception of what's happening immediately before and during an attack. And bear in mind that many people who regard themselves as perfectly normal, balanced individuals occasionally tie themselves in knots about what to wear to a party or other social event.

Even though these kinds of situations don't necessarily lead on to experiencing a panic attack, they can still be stressful. That's undoubtedly a type of social anxiety disorder-the all-embracing term which medics use to cover the various forms of the condition.

If you suffer from panic disorder, you owe it to yourself to do some research on the subject. One suggestion is to identify ezines and newsletters on the Internet which deal with this. Listening to the experiences of other people facing similar difficulties is a good place to start-and there are invariably helpful tips and suggestions for treatment.

For a free self help video, go to http://www.TheInnerAchiever.com where a former sufferer explains how he succeeded in permanently overcoming his panic and anxiety attacks.

Verona Westbrook is a freelance writer and magazine editor specializing in the fields of health and self-development.

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