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Physical sensations Trembling or shaking Sweating Tightness in the throat Shortness of breath A smothering or choking feeling Chest tightness or discomfort Chills or hot flashes (feeling cold or hot) Headache Dizziness or lightheadedness Dry mouth Abdominal distress Nausea Tense muscles Fatigue Emotional sensations Intense fear and anxiety Heightened vigilance for danger A sense of losing control Feeling like youre going mad Feelings of dread or impending doom A sense of detachment or losing touch with reality Feeling like youre having a heart attack or dying Fear of having another unexpected panic attack Underlying Cause of Panic Attacks The exact cause of panic attacks and panic disorder is unknown

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