not being able to control physical reactions?

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I tried posting about this in a PTSD forum of another site but I got nothing and I am pretty worried I mentioned it some here but thought maybe a specific topic for it would make it more clear........so on to the point. To put it simply I need a way to not freak out...I mean the other night it happened again and this time it was even worse because it was in front of my brother and his girlfriend, its the second time my brother had to physically restrain me from causing damage(though I hit myself in the head pretty good a couple times before he could do anything).

Well ok for one my brother is 18, and I'm 23.......he should not have to restrain his 23 year old sister when she freaks the hell out and loses all rational thinking ability. I feel terrible enough about that alone though its a good thing he's physically strong and was able otherwise I would have broke things by crashing around like a maniac. But uhh I can't very well cut off contact with him or any other family/close friends just so they don't see me freak out. I also am pretty afraid of this happening in public and I don't think punching myself in the head is very healthy...not to mention if I was to actually harm someone else or break something expensive of someone elses that would just be terrible.

But yeah I don't even know specifically what sets it off(I know some things can potentially set it off like school/college campus's, being in a large crowd, or in a situation in which I feel singled out(probably because of all the bullying and ostracism as a child) so its kind of hard to know what to be careful of...and sometimes I don't quite realize I am getting set off like that till I've already lost control, and at other times I am able to feel it coming on so I can go somewhere quiet and attempt to calm myself before it reaches that point. But this is really getting to be a problem....I can't very well just ignore it and hope it goes away but I am not quite sure what to do. I guess I should bring it up at that appointment I have scheduled but I don't even know what can be done.

Sweet Pea hugs