Great question and discussion. I also have suffered from panic attacks and anxiety disorder and OCD. In truth sometimes there are no triggers which are obvious and can send someone into a full fledged spell in a few seconds. Other times there are precise triggers which can cause it, such as flying, which was mentioned above. One time my beloved childhood dog triggered one in me when I turned and looked at him. Who knows why?
I use a combination of meditation, talk therapy, and medications to work with my anxiety. I know there are some who frown on taking meditation, but for me it's been a tremendous relief to have help. I work with my doctors and therapist very closely, too. My goal is not need them any more. When I had my last panic attack which sent me to the emergency room a few years ago, I was so relieved to get Xanax which I never had before. It helped my mind to stop, my emotions to settle and allowed me to rest and sleep, which I had not been able to do.
Before medications were helping me, I sometimes would sit at my work desk totally paralyzed thinking someone was going to break into my house and hurt my pets. Why? I have no idea. It doesn't make sense because it's an irrational fear. None of my co-workers noticed, but I was having a very hard time concentrating everyday because of the a.) intrusive thoughts and b.) the panic that it brought up.
It seems that some people I've met think that panic attacks are something that can be controlled at the onset of one. Some people maybe be able to, but often it catches you totally off guard and is very disabling. I find that using meditation to work with the mind and establish mindfulness and calm is helpful during day-to-day life. Also, metta practice is great too- usually panic is related to something feeling wrong or bad, metta practice works to counteract this tendency of the panicked mind into sliding down that slope.
This is a helpful website for me when I feel the need to learn more or read other people's stories. Many people are more severe than I am, some less. I'm grateful for my family's support. It can make a huge difference.
http://www.healthyplace.com/anxiety-panic/ocd-center/ocd-symptoms-causes-treatments/menu-id-60/


