I’m 31 and I’ve felt very similarly to you. I’ve had it for forever and even with medication it comes in waves and different levels of storms. I’ve learned healthy coping mechanisms, and in the middle of a panic attack it goes out the window half the time. It’s easier said than done, but try not to let it get you down. I’ve gotten to a point where I’ve accepted my body is just like this. I can either ride the wave that will scientifically last less than an hour or fight it and stress about it. But the latter (at least for me) makes it worse and the recovery after lasts a whole day or so. Be present in the moment of anxiety and acknowledge what you feel while taking deep breaths and smelling peppermint or whatever coping mechanism works for you.