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You say you have had VVS episodes for ten years but also say "I never have passed out". I think you have anxiety disorder, panic attacks, which feel like VVS. I have had VVS all my life and have passed out about ten times. Around 1992 I passed out twice in succession, the second time so slowly that I could remember going under. After that I began to have VVS feelings for no reason, with no physical stimulus, just out of fear of falling on my face. One attack lasted about 30 minutes before I called EMS. I had developed anxiety disorder from just thinking about and being afraid of VVS. A panic attack felt just like VVS, except that I did not actually faint. My doctor was confused for awhile, but then sent me to a psych who gave me congnitive therapy for the anxiety attacks. I have been glad to know that I am causing them and can think myself out of them. But if I have a strong pain, like a cramp or running a drill into a fingernail, the real VVS will put me down.