Went to beach today, ate bfast and wet myself in water , 90 degrees slight humid felt very fatigued and like i would pass out is that normal or anxiety ? i get panic attacks but not sure why today. am 37 female

More eval needed: There is probably another explanation. This doesn't sound like a panic attack, but since you have panic at times, and because you raise the question, i suggest you sort this out further with a mental health expert. (there is effective treatment). And, if abrupt fatigue & feeling like passing out continues to occur, a physical assessment is also warranted.

Out of the blue: It isn't uncommon for panic attacks to occur out of the blue. Maybe you're used to having anxiety related to stress, and now you're at the beach and think there's no reason to be stressed out? Anyway, if not contra- indicated, i like to use a low dose a the medication nortriptyline at bedtime for my patience with panic disorder. Something called cbt can be very beneficial.

More eval needed: There is probably another explanation. This doesn't sound like a panic attack, but since you have panic at times, and because you raise the question, i suggest you sort this out further with a mental health expert. And, if abrupt fatigue & feeling like passing out continues to occur, a physical assessment is also warranted.

Try relaxation: If you want to avoid medication for your panic attacks, i highly revommend the book: the relaxation response by benson. Read the entire book, the start doing the exercises as contained in the book. Start with 5 minutes twice a day working up to 10 minutes twice a day. You will soon learn to relax instantly, anytime you want or need to, like in the car. It's not hard. Good luck.

Panic: Possible, with your history of panic attacks, especially since most attacks occur for no apparent reason or immediate triggers.

More eval needed: There is probably another explanation. This doesn't sound like a panic attack, but since you have panic at times, and because you raise the question, i suggest you sort this out further with a mental health expert. And, if abrupt fatigue & feeling like passing out continues to occur, a physical assessment is also warranted.

Try Relaxaion: If you want to avoid medication for your panic attacks, i highly revommend the book: the relaxation response by benson. Read the entire book, the start doing the exercises as contained in the book. Start with 5 minutes twice a day working up to 10 minutes twice a day. You will soon learn to relax instantly, anytime you want or need to, like in the car. It's not hard. Good luck.