I recently began working on reframing this feeling as a signal to the brain to step back and breathe (awareness meditation and therapy have been helpful) and it’s been life changing. Using that physical sensation as a grounding signal helped me realize that often it’s just an adrenaline spike, and knowing that makes it easier to sit with the physical sensation for 30-60 seconds, knowing that majority of the adrenaline spike will subside in that timeframe