Panic Attacks during ERP

TLDR: I’m about to start a competitive medical school program, and need advice for how to navigate panic attacks during ERP, since starting this fall I literally won’t have time to deal with panic attacks during classes and clinicals. I’m going through a bad flare up with OCD, and I also deal with a panic disorder on top of that, and my OCD lovessss my panic disorder lol. Short background; This is my third time dealing with it heavily. My first time I was in middle school. My second time was a bit over a year ago, my first semester in college. It took over my life, and my grades were bad during that time because of it. I learned how to properly use ERP, and actually recovered very well. Unfortunately, at the beginning of spring semester in college this year, I started dealing with intrusive thoughts and OCD again, and had gotten so comfortable not having to use ERP, I let the anxiety take over and developed another OCD spiral. It wasn’t “that bad” at first, but because I neglected ERP and kept doing compulsions, it’s gotten pretty rough. Yesterday I had my first panic attack in a long time, as I was doing ERP and having 10/10 anxiety. Im trying to approach this realistically; since I’ve been doing compulsions for a good while, recovery will also take a while, and if there’s one thing I know, is that it’ll get worse before it gets better. Classes start in a little over a month for me, and I will NOT let OCD take over my life and ruin my grades like it has before. Does anyone have advice for navigating a busy lifestyle while also prioritizing ERP? And any advice for as peacefully as possible going through panic attacks during ERP?