Some people also have anxiety sensitivity, which complicates any form of the disorder. Your heart rate or breathing might increase for an unrelated reason, and when you sense this physical arousal, that awareness alone can trigger a state of anxiety or panic. You lose control because you feel like you’re going to lose control. If you begin to fear the fear—whether it’s mental or physical—anxiety can quickly spiral out of control. Amy is a textbook case of generalized anxiety disorder, with shades of panic disorder and social anxiety disorder. She displays both the state—hyperalert, tense,
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