Panic Disorder is defined by unexpected, but common panic or anxiety that usually occurs spontaneously: "out of nowhere ... without reason I felt chest pain and anxiety." Easy situational (phobic) panic may be found, but for the most part there is no consistent escape. Unexplainably, when panics {begin to occur in crowded areas, panickers tend to ascribe the episode to geoing to those placese, and they come to avoid crowded areas as per the condition called Agoraphobia with Panic Attacks. Avoidance does not happen when panics strike the sufferer is in other spots, like at homeor on a mountain-few, if any, agoraphobics avoid places they need to survive.

Anxiety is defined by a sudden emergence of signs like anxiety chest pain or discom¬fort; dizziness, or unsteady feelings; paresthesias (usu¬ally numbness and tingling ); sweating; trembling or shaking; and fear of going crazy, or doing something uncontrolled during an attack. Every one of these signs can be caused by hyperventilation. Three manic episode during a three-week period are needed to pass the requirements for the conclusion of this condition, but men and women with traditional signs, like anxiety chest pain, who fail to experience three panics in such a short time may also suffer from a form of Panic Disorder.

Females are somewhat more likely than males to suffer from this disorder. The first signs most often occur in high adolescence or early adult life but may begin somewhat earlier or later. Sometimes people suffering describe that it lasts for a short amount of time never to happen again; others experience a couple series of panics scattered by panic-free periods of time, and a few develop a severe condition with frequent panics and anxiety attack chest pain. Some men and women use liquor in an effort to avoid panics and anxiety chest pain, which is ineffective and may lead to the complications associated with liquor abuse.


People with Anxiety Chest Pain often seek evaluation and help from family doctors because they are reasonably frightened that they may suffer from a severe chronic condition. By the time they reach a doctor, the scary feeling has usually disappeared and the doctor can find nothing mentally misaligned. In the emergency room, a conclusion of "acute hyperventilation syndrome" is often drawn upon, which may initially be gratifying to both physician and patient but which does little or nothing to ensure a more definitive diagnosis and efficient treatment. The person may feel disconcerted that he or she has been alarmed about nothing but leave calm by a careful checkup. When the next manic episode occurs, help is often sought again, either from the same or another physician. One experiment found that patients with a Panic Disorder had seen an average of 10 doctors before the disorder was finally pin pointed. General anxiety may happen between attacks, as may some chest pain anxiety and avoidance, although if the latter become more apparent, a conclusion of Agoraphobia with Panic is made.