Long story and TMI 7-8 month ago i had worst panic and anxiety attack in my life after years and years i had already health anxiety at that time. My anxiety and panic was caused by breathing ocd i was so low on that period of time at that time i had so many thoughts my first was thought was about heartbeat and oxygen level i was so obssesed about it beacause of breathing ocd at that time i was so deprresed thought of giving up then one day suddenly another thought popped up like whenever i think imagine somthing i would get panic and anxiety because i was thinking that my imagination is not hoing to happen why am i thinking this. then i wen to hospital therapist my dr straight prescrbed me ssri then my therapist didnt knew about such a ocd i didnt get much benifit from it after suffering few months i was finally started to have good days i was on medication. at that time i was still struglling with my breathing ocd but it was not that bad fast forward its been around 8 months on those 8 months there was few health anxiety issues and symptoms which was not that bad iwas not feeling low and depressed but right now im having all those feeling again like feeling low deprresed same thought pattren right now my breathing ocd has improve greatly but that imagination part has now created all those low feeling deprresed feeling loosing sleep. i feeling everything that i felt that time but this time its more stronger. is it setbacks or is again im back to sqaure one im doing same thing like i did before googling seeking reaasurance and im confused also