1. Sudden Fear or Discomfort:

• Rapid onset of intense fear or discomfort, often without an apparent trigger.

• Fear of losing control or dying during the episode.

2. Physical Symptoms:

• Palpitations or accelerated heart rate.

• Sweating and trembling or shaking.

• Shortness of breath or a feeling of choking.

• Chest pain or discomfort.

• Nausea or abdominal distress.

• Dizziness or lightheadedness.

3. Cognitive Symptoms:

• Feeling detached from oneself or reality (depersonalization).

• Fear of going crazy or losing touch with reality.

• Intense worry about future panic attacks.

4. Behavioral Changes:

• Avoidance of places or situations associated with past panic attacks.

• Changes in daily routines or behaviors to prevent panic attacks.

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