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One of the few things worse than a panic attack is a panic attack under the influence of something else like say for instance LSD.
PS it is not some made up A.D.D. type ailment. Yes it is in ones head. So is a lot of everything else. Remember that orgasm you had, well that was in your head too. Migraines, headaches, and even the different levels of pain are all in your head. Unlike being hyper which also is in ones head as the brain releases to much crap into the system. Panic attacks just trigger your fight or flight reflexes and pump up other chemicals that may make it feel like your heart is about to explode, your pulse may shoot through the roof, and a whole slew of very real symptoms hit you.
Oddly most people I know that have or still have panic attacks are not fat fuckers who just sit around all day either. Many are very healthy and some even are super thin. I have had known one who also has slight agrophobia (I think that is it) where she does not like going outside if it is crowded. Though everyone I have met who has had them also has certain triggers.
As for it being a US thing I doubt it. I have seen it happen to a tourist at an amusement park and his wife was telling the EMT's that he has panic attacks all of the time in broken English. They were from Italy. I have also noticed many Mexicans with the same issues.
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