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While the panic attack usually lasts less than 10 minutes, according to the Mayo Clinic, the effects can linger long after the initial episode. ‘Panic attacks can happen at any time, and many people with panic disorder often worry about the possibility of having another attack,’ Birnbaum said. Many people who suffer from panic disorder use similar phrases when describing an incident: It feels as if you are out of control and having a heart attack. According to Birnbaum, some typical symptoms include: Pounding or racing heart Trouble breathing Sweating Trembling or shaking Concern that one is about to die Fear of losing control or going insane Other physical signs include dizziness, numbness or tingling in the hands or other extremities, a feeling of being hot or a cold chill, tingly or numb hands, and stomach pain, according to the ADAA. While some people can identify their triggers for a panic attack, the episodes often come on suddenly. One of the biggest sources of panic is the. "How long have these... 'episodes' been happening?" she asked."I guess maybe sixteen years now; since I was twelve, thirteen maybe." How long does an episode usually last?" "Between several hours, to maybe a day, or two usually, maybe sometimeseven three." "What is the longest period of time that you don't remember?" she asked."I guess, when I was in college. One summer an episode lasted four days. I was fired from a job for not showing, or calling in," I confessed."And then, afterwards, you just wake up? Is that how it happens?" Yes," I answered."Dressed in women's clothing?" "A majority of the time," I was very embarrassed. "Yes," I said, shyly."It's okay," she told me, with a general woman's voice and tone ofreassurance. "Where do you get the other clothing?" she asked, rathersweetly."I don't know," I replied bluntly, cutting her off."Have you ever woken up hurt or injured, in any way?" she probed."No," I answered, honestly."Has anyone ever told you they have seen you and you.
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