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Is my anxiety from jinn, weak faith (iman), or a medical condition?
All three are possible and they often overlap. Anxiety with no clear medical trigger that responds to adhkar may have a spiritual component; anxiety that resolves with medication or therapy was likely physiological. Allah revealed: 'And We have already created man and know what his soul whispers to him, and We are closer to him than his jugular vein' (Qur'an 50:16) - which establishes that internal whispers are a known category to be addressed. The cure is layered: the Prophet (ﷺ) was given Sayyid al-Istighfar (Sahih al-Bukhari 6306) for the soul, qualified medical care for the body, and faithful du'a for both. Do not collapse the three.
In the middle of a panic attack, what should I recite?
Place your hand on the area of the chest where the panic is felt and recite, three times: 'Bismillah' - then seven times: 'A'udhu bi-'izzatillahi wa qudratihi min sharri ma ajidu wa uhadhir' (I seek refuge in Allah's might and power from the harm of what I feel and what I fear) - the prophetic protocol the Prophet (ﷺ) gave Uthman ibn Abi al-'As for sustained pain (Sahih Muslim 2202). Then recite Surah Al-Falaq (Qur'an 113:1-5) and Surah An-Nas (Qur'an 114:1-6) over yourself. Breathe slowly between recitations; let the breath itself become the dhikr.
Is taking anxiety medication a lack of trust in Allah (tawakkul)?
No. Tawakkul does not mean abandoning means; it means using means and trusting Allah for the outcome. When a man asked the Prophet, peace be upon him, whether he should tie his camel or leave it loose and rely on Allah, the Prophet replied: 'Tie it and rely on Allah' (Jami' at-Tirmidhi 2517). Medication for a real medical condition is the rope. The believer takes the medication, attends qualified care, and continues the prophetic adhkar - all three at once. The medication is not a substitute for the adhkar, and the adhkar are not a substitute for the medication.
?My therapist asks me to question my beliefs. Is that compatible with faith?
A qualified therapist normally asks you to test cognitive distortions, not the tenets of your faith. If they are pushing you to doubt the existence of Allah, the reality of the hereafter, or the validity of revelation, change therapists. Many Muslim and Muslim-friendly therapists exist; the cognitive work can be done without compromising aqidah.
?Sometimes I have intrusive blasphemous thoughts. Am I sinning?
Intrusive whispers that you do not act on or speak out are not sin - they are the very waswas Allah revealed Surah An-Nas (Qur'an 114:1-6) and Surah Al-Falaq (Qur'an 113:1-5) for. The Prophet (ﷺ) confirmed that the more painful the whisper feels, the stronger your iman, because iman is what makes the whisper repellent. Seek refuge in Allah from Shaytan when the thought arises (Qur'an 7:200), and keep moving. Do not engage the thought; the engagement is what Shaytan wants.