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People panic for all kinds of reasons: driving in snow, taking a test, leaving a purse on the subway. One of the big causes of panic attacks is, rightly, having trouble breathing—and that triggers a vicious cycle in which anxiety aggravates breathlessness and breathlessness in turn creates further anxiety. Some patients experience such a severe case that they're convinced they're about to die. The strategy for these people is to slow down and regain control: Stop, purse your lips, and drop your shoulders.

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