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Dr. Kiran Kumar K | Appointment booking number: +91-9663516934 Consultant Psychiatrist & Director | The Nirvana Center, Marathahalli, Bangalore Feeling of intense anxiety, most of us would have encountered in some point of time. Is it an abnormality? If it is just at a single point of time, we don’t call it as abnormality, but intense episodes of anxiety associated with various physiological arousal symptoms like pounding heart, breathlessness, palpitations, increased blood pressure, increased heart rate, butterflies in the stomach, occasionally other symptoms like headache, giddiness, light headedness, etc can mean there is a crescendo of anxiety or increased anxiety that we call it as a panic attack. Panic attack is again quite normal when we have a extraordinary stimulus, a normal person can have a panic attack. So when does it become abnormal? When there are increased episodes of panic we call it as a panic disorder, it might lead to impairment in the psychosocial and occupational functioning of the affected individual. So what happens when there is a panic attack or a panic disorder? The behavioral pattern sets in whenever we are exposed to an unpleasant stimulus that leads to a panic attack, the normal behavior or the human being is to avoid the conditions. So a panic attack or a disorder leads to avoidance of behavior and it may lead to anticipatory anxiety leading to one more attack. The way we describe panic disorder and if it leads to incapacitating , the patient or individual needs to meet a mental health professional and definitely it is a treatable condition, be it medications, psychotherapy, and be it other behavioral changes or a holistic approach, panic attack or a panic disorder is definitely treatable.