Exhaustion.
This is what started the chain reaction that lead to the first panic attack you experienced (but not the rest of ‘em. We’ll get to that in a minute)
When it comes to panic and anxiety, there are three types of exhaustion: Physical, mental, and emotional.
Physical exhaustion – Caused by things like:
- Drug abuse
- Alcoholism
- Poor diet
- Lack of sleep
- Bodily changes (pre-menopause, post-birth, etc)
Mental Exhaustion – Caused by things like:
- Excessive worry or stress
- Law suits
- Upcoming evaluation at work
Emotional Exhaustion – Caused by things like:
- Divorcing from your husband
- Losing a loved one
The first attack is the result of prolonged physical, mental, or emotional exhaustion.
That’s the reason why it’s so unexpected.
It’s a graduated process. It’s built over time.
Each day you get just a little bit more “exhausted.”
Your body’s resources are gradually depleted, until it reaches a point where it can’t maintain normal function.
As far as your body is concerned, this is a SERIOUS THREAT for your existence.
So the fight or flight response gets called into action, and the chain reaction begins:

So we got the first panic attack covered. What about all the ones that follow? Are they caused by exhaustion as well?
The answer is yes.
And no.
Let me explain.
If the CAUSE for the exhaustion still exists – e.g. you’re still on a poor diet, or continue to worry excessively about your job – then yes.
Exhaustion WILL take part in your future panic attacks.
But even if it’s taken care of, you’ll still continue to suffer from panic and anxiety.
You see, the first attack was so intense, that it left an imprint of fear in your system.
“It’s like it’s always there, Lurking in the shadows …”
Women who experience a panic attack report constantly worrying, thinking, and dreading the next one.
Thoughts turn into worries.
Worries into fear.
Fear into anxiety.
The anxiety gradually increases, until it turns into another attack.
This leads to even more thoughts and worries, and the vicious cycle continues.
The only way to end your panic and anxiety for good is to call fear’s bluff.