You need to work on your haikus . <| sep |> That ' s how my panic attacks are . Vision starts blacking out around the edges , tingling in my hands and feet , feeling very hot but also cold , raised heart rate , and nausea . I very rarely am panicked or scared or even worried when I get them . What people often don ' t realize is that anxiety is just like depression in that its has an actual physiological cause . Depression isn ' t just ' being sad ' and anxiety isn ' t just ' being worried '. A panic attack isn ' t called that because you are afraid . It ' s called that because , for whatever reason , your body gets mixed up and goes through the physical process of panic even if there ' s nothing you ' re panicking about it . That ' s what makes panic attacks so disorienting , in my opinion .