Panic symptoms. During a panic attack you are experiencing a peak of anxiety that will usually last from 20 to 30 minutes. Physical symptoms: rapid pulse, difficulty breathing, sweating, tremulousness, hot and/or cold flashes, light-headedness. Thoughts: sense of impending doom, sense of helplessness, fear of dying, loss of control, etc. Behavior: avoiding places or events, escaping, restlessness, pacing, etc.
You may not! For a lot of people, the first panic attack feels like you are dying! so the first doc to see that person is frequently an er doc.