I really don’t get actual attacks very often. It’s more of an ongoing 24/7 thing for me… Most days I can’t hardly leave bed! There are often times when I can’t breathe at all! My inhalers don’t seem to help much (I have Advair, and an emergency inhaler) My Dr. isn’t a whole lot of help either (he always checks my breathing while I’m seated… which is when my breathing is almost normal) I don’t smoke, drink, or do anything that would cause my breathing to be this way. I live out in the country as well..