<s>[INST] College age daughter who strives for perfection has entered her college class 2x in 2 weeks (meets weekly). Both times broke out in a sweat, vision blurred, felt like she may pass out, vomited 1x. Has no symptoms prior to this nor in the weeks time in between. Very rigorous class which she is worried about. Could this be anxiety? [/INST] In  my  opinion  anxiety  can  present  with  all  these  symptoms but  make  sure  she  is not  having  sugar  level  variations. Also,  check  whether   menstrual  cycles  are  regular. In  case   of  thyroid   dysfunctions  these   symptoms can be present. If  everything   is  normal,  she  would  require  medications  like   Escitalopram and  low  dose of Benzodiazepines. </s>