Panic attacks are sudden episodes of intense anxiety characterized by several physical and psychological symptoms including shortness of breath, rapid heartbeat, dizziness, sweating, trembling, a feeling of choking, and an intense fear of death or losing control, and they usually appear within a few minutes. Physical Symptoms • Shortness of breath or a feeling of choking. • Rapid heart rate or palpitations. • Dizziness or vertigo. • Excessive sweating or trembling. • Chest pain or pressure. • Digestive upset such as nausea or bloating. Psychological and Behavioral Symptoms • Intense fear of death or losing control. • Feeling of derealization or depersonalization (detachment from reality). • Chronic anxiety or difficulty concentrating. • Racing thoughts or mental confusion.