It is fear of the panic itself that leads to further attacks..

If we worry about the consequences of having further panic attacks this added fear produces a continuous feeling of underlying anxiety or stress.

“What if the next attack is worse than the last one..?!”

“what if I collapse..?!”

“what if..?”

This worry causes a constant low level of adrenaline which keeps the body on high alert which means the fight or flight response is triggered more easily.

This is called ’ANTICIPATORY ANXIETY’

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