After failing 4 manual driving tests 22 years ago in London, I gave driving a miss for quite a while, moved to an area where public transport is not that great, so needed to drive. I used to suffer panic attacks, but with the help of hypnosis, I don't get them, and had it in preparation for learning to drive.
Found an instructor for an automatic car and had lessons, booked a test and failed spectacularly. The examiner took me on the worse route possible, and was totally unprepared for an motorway type A road with multi laned and traffic lighted roundabouts that I never seen before. Was a good first introduction to that road. Add to that, I had never done independent driving following road signs with the instructor, so all this was new to me on my test.
Managed to hold it together until after the test, I knew I failed but proud that I did the test, and did not have a panic attack, and it was great experience. Needless to say I am looking for a new instructor, and will be booking my test after a bit more practise.