I first started seeing a therapist because of the panic attacks and anxiety.
With E and spiro, I still get them...but...well, it's hard to describe:
Before, when I got attacks, it'd take me a couple or so days to get out of that "place" in my mind.
After E, when I get them, it's a matter of hours to get out. In my memory of previous attacks, it was like my soul had to walk out of the "Dark" area(s)...now I can fly instead of walk, and can flit out of the area relatively easily.
But yes, I do still get them. Much reduced, though.