Working on your self talk can help. I used to be very clastrophobic as a result of an abuse situation (placed in a small school locker all day by a teacher). I would have panic attacks when I was closed in - not just small spaces, once at an outdoor concert when they opened the gates the crush of the crowd around me caused me to panic. I lost the abilty to speak, ended up in the first aid tent, they thought I was ODing and I couldn't talk or stop sobbing to explain. In retrospect it had a humorous side but at the time was no fun! While I still avoid situations that are likely to be hight stress in that manner, I can now tollerate stuff I couldn't before. I've gone into small crawl spaces, attic spaces,and closets with the door closed. I can even tollerate crowds. Part of this is from my self talk and part from learning to use focused breathing.
The self talk I used was telling myself that I am in control of this situation, I can leave it any time, Mrs. Emmons isn't here - I'm all grown up and she can't bother me, I am doing this because I chose to. The breathing involves focusing on that rather than on where I am. Breath through the fear. Focus on getting and controlling your breath, it is calming and helps you get centered and focused.
Have someone calm, whom you trust with you for a couple visits. Have them hold your hand and talk with you. Distraction can be a great tool. I'll bet if you do this a couple times, then just have someone with you but not holding your hand, you will get to the point that you can handle it on your own. You can do this! Be gentle with yourself but firm. You are letting one little part of your mind take over and you have to quiet that part. You might try talking with your doc, tell her what you are dealing with and see if you could spend some time in the waiting room (no appt) and then some time in a examination room when you don't have an appointment. Just read a book for a little while? Sit and chat with a freind? Just to get some comfortable experiences there? Then get a couple of the paper gowns to take home. Try wearing them there. Laugh at yourself in the mirror (they look pretty unflattering don't they? Just get comfortable with that in a 'safe' place? Then it should be easier to put it all together without so much reaction. In the docs office you can tell yourself (self talk) I've been here before, read a book, no problem, worn these before, sure look silly. Don't focus on what you won't do. "I won't freak out" because all your brain will hear is "freak out" Focus on what you will do.
Get a copy of Shad Helstatter's book,
What To Say When You Talk To Yourself, I think you'll find it helpful in understanding better how your brain works.
It won't happen over night but you can get past this! Stick with it.
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