re: How many here have actually been to a psychiatrist?

You would be hard-pressed to find a psychiatrist that does therapy, much less cognitive behavioral therapy. They mainly do med management and you might get five minutes worth of therapy. If it is therapy you want, you should see a psychologist or therapist. Cognitive behavioral therapy can be very helpful for anxiety and panic.

Honestly, get a therapist before a psychiatrist. Maybe all you need to do is talk out your issues to a nonjudgmental party. He would be the more qualified one to refer you to a psychiatrist or if you actually need one.

Regardless, start working out. I've started, lost a ton of weight and gained a lot of muscle, and now I feel like a new man. Also try meditation apps. I've found that "Breethe" really has helped me in moments of great anxiety. Do that, and you'll be better off regardless if you actually need a psychiatrist.

Research a low carb diet.

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I recommend the book : Feeling Good by David Burns: cost ~ $10 .

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A very good book. Actually one that is tailored for anxiety by the same author is called The Feeling Good Handbook.

I have posted this before, but can't say it enough. My mantra at work is:

"Meds are useful, but pills will not give you skills."

It is possible to learn the emotional skills needed to deal with daily knocks of life. Accept that you are capable of at least attempting to practice and try. Don't blame yourself for not understanding, it's usually a mixture of genetics, nurture, and trauma. There is a deeper issue and a negative stream of thought that is possible to overcome.

Obviously you know it's not appropriate to take a diazepam if you are anticipating panicking on the I-10, so you have to confront this.

Don't ever stop your medication suddenly without talking to your doc, and please buy this book. It is very effective.

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If it is therapy you want, you should see a psychologist or therapist. Cognitive behavioral therapy can be very helpful for anxiety and panic.

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The problem for many is that CBT requires the individual to put in the work to learn skills, with just monthly or quarterly lessons/check-up with the therapist. A lot of people unfortunately give up and end up relying on the meds to numb the underlying issues.