I am 31 years old Bank employee .on 23rd may 2016 while eating lunch I felt I am choked and I felt I am going to die then I vomited and got anxious I went ENT doc he checked and found nothing in throat he advised its anxiety do not worry. Bt after that day every time I eat I feel that I ll choke n die .i m very jovial person I was enjoying my life but i don't no what happened sudden. I am panic attack patient in 2008 .PLease tell.

Dr. Saul PereiraPsychologist46yrs exp

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This is a panic reaction and now it has become entrenched in your psyche and the association is strong. Panic is an abnormal reaction to fear. Meet with a counselor and talk about this fear. You need to change your perception of the fearful stimulus then you can change your response to the fear. The first one is the best and will preempt the need for the second. If you are already far gone into the reaction mode, then you need both responses to counter the attack. The way we see things in life (like half empty or half full glass) is very dependent on our attitude. Attitude may have developed over many years but fortunately can change in a matter of sustained choices made and acted up on now. Accordingly you choose to see things as either threatening or as an opportunity. The opportunist will be positive and work with the situation to make good out of it. The individual who sees it as threatening, will, out of fear, try to avoid/run away from the situation or react with anxiety. Yes, self-belief does impact it too, but you can see that prior to that, perception will tarnish the belief system too. Here, you can see that all the resolution lies in just changing your perception/attitude, even if it is against odds. Changing your response, despite the perception, is building up of your reserves and resources to handle any contingency that life throws up at you. And life throws up situations quite regularly and heavily. In the meantime do some confidence building exercises by attending a personality development course, public speaking skills course (i suggest you join the toastmasters club), work out at a gym to build good self-image, and join social events to practice your skills. With regard to eating slow down the consumption by chewing your food more and eat small portions. You can not choke on small helpings and neither can well-chewed food get stuck in your throat. Watch the association you make with this choking and consciously be aware that you are probably making your throat rigid and then feeling the choking sensation. 

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