Advice for panic attacks in PA school

I'm posting because I need some advice, maybe from someone who has faced a similar issue before. I'm having panic attacks, and in a circular twist of logic, I'm pretty sure I had a panic attack because I'm afraid of feeling dysregulated/not in control of my body.

This is hilariously embarrssing, but in 2025, while shadowing a PA in a specialty I didn't have any exposure in, I nearly vasovagaled out- I was able to get off my feet in time, but subsequently projectile vomited soon after in an area that was unsuitable to projectile vomit in. Luckily this specialty is not a required clinical rotation at my PA program.

I never vasovagaled out before, but since this episode I have been so anxious and paranoid of being at the mercy of my own biology. It's jarring to react so violently to something seemingly innocuous (from my perspective), and the fear of getting triggered and the subsequent anxiety attack/vasovagal episode really compounds my paranoia. Yes, I do have generalized anxiety, and I'm taking an SSRI, but am pretty unfamiliar with emotionally regulating myself during a panic attack and I'm horrified that I experienced one during orientation.

Seque:

I think I had an anxiety attack during my program's orientation when our director was discussing the rigors of the program. I want to be a PA and I am excited for the road that lays ahead, and I know PA school is going to rock my shit. But did I suddenly feel like I was about to die/shit myself/puke/faint during orientation when our program director told us PA school was going to rock our shit? Unfortunately yes.

I was able to box breathe my way out of it, but if I stopped consciously regulating my breathing I felt like I was going to get mauled to death for the remainder of the orientation.

Is there anybody else out there in PA school that struggles not just with anxiety, but sneak-attack panic attacks that knock them on their ass? It's day one and I feel like a pansy, but if I have to box breathe myself through the next two years I will. I'm embaressed and afraid of how this will affect me if it continues throughout didactic/clinicals/my career as a PA. I've never struggled with this before and would really appreciate advice.

TL;DR: fear of vasovagal episodes has compounded into panic attacks. Had panic attack at orientation and would appreciate advice on how to handle if repeat episodes occur