Somatic Symptom Disorder or Somatic OCD?

Hi all. 29 F. I’m trying to understand my symptoms a little bit better, and I’m wondering if they happen to be under Somatic Symptom Disorder, Somatic OCD, health anxiety, or just anxiety. It’s just so confusing. Sorry for the long post!

Ever since I developed a panic disorder from a near choking episode in 2017, my life pretty much took a turn and I’ve been overly aware about my body sensations. I didn’t realize I had a panic disorder until I was diagnosed a year later. But within that year I thought something was seriously wrong with me. I was having random dizzy spells, increased anxiety, high heart rate at times but other times my heart rate was fine even though I was panicking, my body felt off and disconnected in a way, I even had a heart monitor on because my doctor thought something was wrong with my heart and everything came back normal. I was also overly aware about my body sensations, especially my breathing and heart rate, and feeling my arms.

Anyways, I went on Zoloft which helped, but didn’t make it go away. I was pretty good for a little bit, even though I still had symptoms, but now it’s gotten bad again.

Now, for the past two weeks I have been constantly monitoring my breathing. It happens without me even thinking about it I guess, like subconsciously maybe?, but then when I’m aware I realize I’ve been monitoring my breathing and I continue to monitor my breathing until I get distracted by something, and then the cycle continues. I’m never like “ok I’m going to start monitoring my breathing now”. It just happens, and I can’t stop it.

I also get triggered by my heart rate. A couple months ago I was spiraling for weeks about my heart rate to the point I would give myself vasovagal syncope. I’ve gotten better, but I still get triggered whenever I have a high heart rate. Sometimes I still monitor my heart rate when I’m laying down, even if it’s not high and nothing is going on. I’m still subconsciously thinking about it.

Whenever I get panic attacks, they last all day and end whenever I fall asleep. I can’t control them. I think it’s because I’m constantly monitoring my body and I can’t stop, and my mind is overloaded. But I don’t think panic attacks are supposed to go on that long.

Lastly, another issue I’m facing is my anxiety over medication interactions/side effects. This comes and goes, but when I get this anxiety it overtakes my body. Just a couple days ago I had a sudden urge to spit out my medication because I was scared it was going to interact with my medication I took the night before since I took the pills that were in my mouth earlier than I usually do, and I didn’t want it to cause serotonin syndrome. I also am overly paranoid about interactions and “what if this occurs”.

Ok, that’s all. Thank you for reading this. Any advice would be appreciated:)