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He does have tenitis(ringing in the ears), as I am sure you know that provokes anxiety all on it's own. Crowds? Forget about it. He does not like crowds, fireworks, noisy bars restaurants etc.

As for brain fog. Yes this has happened. He forgets what he was saying or doing. But it's not an old age thing. He sleep walks and appears totally lucid when he does it, except that the situation is inappropriate for the middle of the night.

He can be helped with the right medication. This is common in kids as well and shrinks pass it off as being ADD ADHD. It's actually Central Auditory Processing Disorders. Fireworks? LOL First clue my parents had something was wrong was when I was about 5-6. We were at the fair and it was time for fireworks. I went into hysteria plugging up my ears and closing my eyes. A couple years later they started finding things like I was single eye vision. I have poor eye-muscle coordination and had too take two years Occupational Therapy in 7th and 8th grade. It gave me the skills to where I even passed two armed forces physicals. Nope they didn't catch any of it either. I also have a long history of sinus allergies.

It really sounds like he is a Vestibular patient. You can do the searches with a search engine Vestibular disorders +anxiety. There is a lot more information out there than what I had in 1994.

I also very highly recommend the book "Phobia Free" by Harold Levinson. Don't let the title throw you off. In that book he puts the Vestibular triggering anxiety puzzle together. He is a Neurologist and Pyschratistist and was decades ahead of his time.

BTW I bet he can wear out a good pair of shoes pretty fast huh? Breaks over the sides unless he wears corrective insoles? That's due to walking of balance it makes the ankles turn in real bad. Concrete floors are the worse. I also have to use a cane now.