14th February 2025

A 54-year-old man with no previous psychiatric history presents with an acute episode of anxiety occurring while on the bus.

A 54-year-old man with no previous psychiatric history presents with an acute episode of anxiety occurring while on the bus. He describes that he suddenly felt really worried that there was going to be a terrorist attack and struggled to catch his breath.

His GP asks him to record a peak flow diary to rule out adult-onset asthma. His average is 90% predicted PEFR with little diurnal variation.

Which of the following is not a common feature of a panic attack?

Select the SINGLE most appropriate option from the list below. Select ONE option only.