I have panic attacks that lead to episodes of depersonalization. can this be treated? without meds? i feel hopless. like i'm dreaming while awake.

Can be treated: Yes, panic attacks can be treated. Medications can definitely help, but there are effective psychotherapeutic treatments also. See a psychologist who does cognitive behavioral therapy. Again, medications may be a helpful part of treatment -- depending on how intense and frequent your panic attacks are.

YES/NO: Best treatment for panic disorder is combining medication and cbt (cognitive behavioral therapy) . Panic attacks can happen in any type of anxiety not only panic disorder, so a proper diagnosis of which type of anxiety you have is imperative. Available treatment of anxiety disorders is effective and it changes peoples life.