I vote for medication as the first line of treatment for Panic Attacks. Once the meds are on board then you can do all the exploring you want. I personally believe we are wired wrong an need the medication to regulate the hormones epinephrine and norepinephrine.
I agree that things may cause them to become exacerbated but life is difficult and there is going to always be some sort of stress that could set them off. I personally never want to experience another attack ever!
Can anyone tell me a story about a successful cure without medication?