Kelly, it's called panic disorder and I've had It for all of the MS years..
Paxil ls the only med that took it away. I must try it again ASAP.

I have found my Startle Reflex control has regressed with MS. The Startle Reflex can be seen in babies, a very basic neurological reflex (stiffening of body, etc.), less seen as we mature unless something happens to elicit it and ideally for self-preservation. Startle reflex is momentary but on-going panic attacks should be treated with help of professional. MS has made me more jumpy and when I taught Emotionally Disturbed teens my way was never let them see me sweat. Cool and collected back then, now not so much. I get discombobulated easier now. Always the question for me-age or MS?

MS seems to cause more swing of affect (emotions) in me also. Quicker to cry or laugh or anger.

I haven't noticed any other fluctuation of emotions.....just this startle reflex.

The thing is I don't feel anxious or "panicky" before or after. It just startles me.....and then it's over. My heartbeat immediately slows after the initial jolt.

I really don't want to start another med unless it just gets so bad that it's affecting my health.

I have the same issue. My startle reflex goes into overdrive when someone speaks to me while my back is turned. I throw up my hands and make a vocal sound. Have had this challenge for years.

IMO that is startle reflex(expected) and not an anxiety attack. Not a big med. fan, see no need for it. BOO! (did I get you?)

I believe in meds when really they help.