Hi Dear P
I think you may be right here and that the panic attacks can trigger the OCD rather than be the result of a bad attack of OCD. Certainly, if someone shouts at me or upsets me, I do sometimes get panic attacks which in turn result in the obsessions, compulsions and rituals. This also happens if I try to do too many things at once. We ladies are supposed to be good multi-taskers, but as I read recently, and totally agree with, if you are a perfectionist, it is best to try to do one task at a time.
My answer is to walk away from the situation if at all possible and take some time out. Go for a walk (which alas is hard for me) get on the bus and go down town and look in the shops, have a cup of coffee with a friend, watch a funny film, or, if it is sunny, sit in the garden and chill out.
Whatever triggers what, OCD is an anxiety disorder and the two do seem to go together. I take a teeny dose of citalopram (10mg) which actually works. But if things get bad I take some Rescue Remedy too. Whether or not it is a placebo, it works on me because I believe in it.
Anyway, P, this is a realy good issue to debate.
Very best wishes
Anne