Case Lab · Type A · Foundation

F41

Four unpredictable episodes in two months

Tomas, 30, has had four episodes over the past two months of sudden, intense fear peaking within minutes, with a racing heart, sweating, chest tightness, and a feeling he might be dying — occurring once at home, once at the grocery store, once at work, and once while watching television. Between episodes, he reports constant worry about when the next one will strike and has started keeping his phone nearby at all times in case he needs to call for help. He does not describe ongoing, pervasive worry about unrelated matters such as his job performance or finances.