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A panic attack arises when physical sensations such as heavy palpitations or faster breathing are considered life-threatening. This evaluation in turn leads to an increase in physical symptoms. This reinforcement increases the fear again, which increases the physical-vegetative signs of fear almost to intolerability. The vicious cycle is closed.

Most anxiety attacks last between ten minutes and half an hour, but they can also last longer or shorter. During a panic attack, Kensington coach which reaches its peak within ten minutes, severe physical symptoms appear, which the sufferers experience as threatening.

In addition to a sudden racing heart, chest pain, suffocation, nausea, sweating, trembling and dizziness, this is a feeling of experiencing yourself or the environment as strange and unreal, or the fear of fainting, dying or going crazy.
Panic disorder: fear of further attacks
If these severe anxiety attacks occur repeatedly, one speaks of a panic disorder. Because of the pronounced physical symptoms, many sufferers are convinced that they have a physical illness, especially heart disease, and therefore always seek confirmation of their suspicion from a doctor.

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