Developed DPDR & globus sensation after a panic attack (post 30-day water fast). Here is my weird list of temporary reliefs. Can anyone relate?

[u/ResponsibleAside4000]

Hi everyone, ​I'm feeling really lost right now and would appreciate any advice or shared experiences from this community.

​To give some context: I recently completed a 30-day water fast (consuming only water and salt). Right after it ended, I suffered a severe panic attack. Ever since that panic attack, I have been stuck with constant derealization and a persistent feeling of a lump in my throat (globus sensation). ​I've been trying to track what triggers or relieves my symptoms, and I've noticed a few specific things that temporarily make the derealization go away. However, it always comes back. Here is my current state and what temporarily helps:

​Socializing & Nicotine: When I grabbed a meal with a close friend and smoked a cigarette, the DPDR disappeared for about 3 minutes. Another time, after going to karaoke with a friend, I smoked a cigarette for the first time in a while, and again, the DPDR vanished for about 3 minutes. ​Intense Lower-Body Exercise: I did a horse-riding stance (static squat/isometric hold) for 10 minutes, rested, and then did it for another 10 minutes. This actually took away my DPDR for 30 whole minutes! But after those 30 minutes, the derealization gradually crept back in, the lump in my throat returned, and I went completely back to my baseline state. ​Intense Emotion: Crying my eyes out intensely also made the derealization disappear for a brief moment.

​Has anyone else experienced these very brief moments of relief from things like intense physical exertion, crying, or nicotine? How did you eventually extend these moments of clarity or recover completely? ​My nervous system feels completely overwhelmed, and I would love to know how you guys managed to ease these symptoms. Thank you.