This is going to be my last response to you on this thread (just to be clear I like you as a poster, but I don't think this interaction is productive or good). No, this isn't the same. I have repeatedly said intentionally triggering someone's panic episode is not something anyone should do, and that none of what I am saying about safety tools should be read as an endorsement of dismissing someone's pain or mental health concerns. I've stated this over and over again. What I am saying is people have to figure this stuff out among themselves, and that it may not always be possible for a group to accommodate stuff. None of what I am saying is suggesting that the GM or other players should go the opposite direction and try to treat someone's panic disorder with exposure or something. That isn't what I am arguing. I have had serious panic attacks, I understand what is like to think you are going to die while having one. It isn't something I would ever treat in the way you are suggesting.