Holly, my opinion is that some kinds of body reactions are just not going to be taken care of for *some* people without a medication, at least in some situations. I suffer from a similar thing as you, although I don't have any fears or phobias. But I have days when I feel 20% like I'm losing consciousness, other days when it rises to 50%, and some days where for no reason I or any doctor has a reason for, I feel like I'm about to faint. I know therapy is a great thing but it has never changed this for me over two decades. I still continue to try anything that might keep this 'thing' down to a toerable level. I was on an SNRI for many years, which helped a lot, decided I wanted to do without it, and now a year later am back on it. BUT. : ) the main point I want to make is that, for me, having an Ativan in my pocket at all times has been a lifesaver, even when I've had periods where I barely took one.
I know exactly what you're going through. You're idling too high. Your normal, relaxed state is one where you feel dizzy and sometimes on the verge of losing consiousness, and Tylenol etc doesn't have any effect. I'm not at all saying to go with meds and not therapiess, not at all. But I am almost certain that if you took an Ativan when you feel like you're too lightheaded you'd feel better, because that's what it does for me. It's the difference between me being functional and laying on the couch praying it gets better instead of worse.