Sometimes you will still be talking to your friends and for no reason have a panic attack - face hands trembeling being just blank.Why does that happen?

There are several reasons why you might experience a panic attack during a conversation with friends, even if there doesn't seem to be an obvious trigger. Here are a few possible explanations:

- Social anxiety: Social anxiety disorder (SAD) is characterized by an excessive fear of social situations, including talking with friends. You might worry about being judged, embarrassed, or rejected, and this anxiety can lead to a panic attack.

- Anticipatory anxiety: You might be anticipating a panic attack before you even start talking to your friends. This expectation of feeling anxious or having a panic attack can set off a self-fulfilling prophecy and lead to an actual panic attack.

- Thought loops: During a panic attack, you might experience intrusive thoughts that keep repeating in your mind. These thoughts can be related to fear of losing control, fear of going crazy, or fear of death. These thought loops can intensify the panic attack and make it feel even more overwhelming.

- Hypervigilance: Hypervigilance is a state of heightened awareness and attention to potential threats. It can be a symptom of anxiety disorders, and it can make you more susceptible to panic attacks in situations where you feel vulnerable.

- Emotional triggers: Certain topics or discussions can trigger strong emotional responses, such as anger, sadness, or anxiety. If you're talking about a difficult subject with your friends, these emotions could escalate and lead to a panic attack.

- Physical triggers: Sometimes, physical sensations, such as a change in heart rate or breathing, can trigger a panic attack. These sensations can be caused by stress, anxiety, or other factors that are not directly related to the conversation you're having.

If you are experiencing panic attacks, it is important to seek professional help. A therapist can help you understand the root causes of your panic attacks and develop coping mechanisms to manage them.

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