Panic attacks typically begin suddenly, without warning. They can strike at any time — when you're driving a car, at the mall, sound asleep or in the middle of a business meeting. You may have occasional panic attacks, or they may occur frequently. Panic attacks have many variations, but symptoms usually peak within minutes. You may feel fatigued and worn out after a panic attack subsides. Panic attacks typically include some of these signs or symptoms:  Sense of impending doom or danger Fear of loss of control or death Rapid, pounding heart rate Sweating Trembling or shaking Shortness of breath or tightness in your throat Chills Hot flashes Nausea Abdominal cramping Chest pain Headache Dizziness, lightheadedness or faintness Numbness or tingling sensation Feeling of unreality or detachment  One of the worst things about panic attacks is the intense fear that you'll have another one. You may fear having panic attacks so much that you avoid certain situations where they may occur.
panic attacks typically begin suddenly  warning  can strike time — you're driving car  mall  sound asleep middle business meeting  may occasional panic attacks  may occur frequently  panic attacks variations  symptoms peak minutes  may feel fatigued worn panic attack subsides  panic attacks typically include signs symptoms:  sense impending doom danger fear loss control death rapid  pounding heart rate sweating trembling shaking shortness breath tightness throat chills hot flashes nausea abdominal cramping chest pain headache dizziness  lightheadedness faintness numbness tingling sensation feeling unreality detachment  worst panic attacks intense fear you'll one  may fear panic attacks avoid situations may occur
panic attacks