“I simply can’t breathe a lot of the time,” she said. “I feel as if I’m going to choke and then die. I’m so worried when I’m alone.” “Are things getting stuck in your throat or chest, or are you just feeling as if you can’t get enough air?” “Yes, that’s it. I can’t get enough air. I never feel as if I can expand my chest enough.” “Which comes first, feeling anxious or the trouble breathing?” “They come together. I can’t tell which is which, but I do think that I’m going to die.”