Hi guys...I too have the same problem. I can usually control my anxiety attacks, and in fact can go months, sometimes years without them. However...Sometimes I do get "the lump," which I have been told is a spasm in the esophogus due to stress. If you are having problems breathing or swallowing food or water, you should definitly go to your doctor to rule out anything serious. Mine sometimes last a day, sometimes last a week or more. I am one of these people that sit there and constantly dwell on things....."what if I have cancer," "what if my acid reflux is eating my esophogus," etc... Haha. It's terrible. I know it's just me letting my mind control me, and so at those times, I just have to take back control of my body. Yoga, meditation, warm liquids, making sure your acid is under control, all these things supposedly help. However, the best thing that I have found is just relaxing, or doing something you enjoy that takes your mind off of it. Also knowing others have the same problem helps... :) good luck, and don't let it get the best of you :!: