firstly, if you panic when giving a speech, say you have a terrible migrane and cant think straight.
paxil needs to be taken daily and wont work properly for 2 to 8 weeks, with a 30% chance it simply wont work at all for you, it should then reduce or stop anxiety and panic attacks.
If you just need something for speechmaking, and many do,then a valium type med about 30 minutes before is best, a beta blocker such as inderal is also popular.
valium relaxes the body and mind, inderal relaxes the body only
its important to breathe deep and slow when anxious or panicky, consider doing a public speaking course, everyone will be nervous at first.
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panic attack when giving speech 
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