I had a loooong time fear of deep, open water and got into triathlon in part to see if it would help me get over it, and it has. To be totally honest, the swim on my first tri was a real struggle, not through lack of ability or fitness, but because of anxiety
(about the water, the race in general
) and I experienced that tightness in the chest and ended up side-stroking 3/4 of the swim. Funnily enough, my next race could not have gone any smoother, I knew going in that my run and bike were very strong and that, if I just cruised the swim I could still put in a good time. Once you are able to just focus on yourself and your race I think you will find that many other external factors start to fade. If at all possible, completely ignore the 'sprint' start, you'll find that a number of people who go out hard will end up fading and if you can just get into a comfortable pace that you have practiced, you'll end up passing many of them in the second half.
The next best advice I ever got was to do a proper warmup before the event, like get up in the morning and dress a lot warmer than you usually would, keep your body temperature high
(without sweating like a maniac
), do a good run
(or bike, or whatever else works
) warmup and then, if at all possible, get a few minutes of swimming in before the start. This helps you get used to the water temp and you wont be gasping as much as you might otherwise
(although 68 degrees is balmy compared to the SF bay, which is around 54 at the moment!
). It'll also loosen up your shoulders, the wetsuit will start doing its job
(i.e. keeping you warm
) and you'll be used to having your head/face in the water.
Good luck, I'm sure you'll crush it
