I think you guys both make great points. "Live Deliberately" is a motto of mine, but it is an ideal as much as it is a reality. It is something to strive toward. Learning to deal with anxiety and panic is a constant struggle for me, but it is a struggle that I have made real progress in. I am not in the same place that I was 5 years ago. So my biochemistry is always going to have something to say about what I do and what choices I make, but I can make deliberate choices to learn to deal with those limitations in ever improving ways. I've found mindfulness meditation combined with anti-anxiety medication to be useful in that. The medication makes the anxiety less overwhelming (though still quite a real factor) and the meditation helps me examine more clearly what I am feeling and where the boundaries of what I need to control really are.
Like a spent gladiator
crawling in the colosseum dust
who can count on his remaining limbs
all the people he can trust.
Like the one who stands behind him
cheering him on
Estatic when he stands defiant,
wild with abandon when he's gone
just stay alive.
do whatever you need to.
you are worth it.