Panic Attacks are a particular sub-type of anxiety problems. They involve the sudden eruption of severe anxiety symptoms such as pounding heart, perspiration, dizziness, nausea, and the overwhelming urge to get out of the situation. This often occurs when in crowds (such as churches, airplanes, the left lane of an expressway, elevators, etc.). Cognitive behavioral therapy (CBT) is used to help re-interpret the experience from dangerous to discomfort. Behvaior Therapy is then used to re-expose the person to the dreaded situations with panic. A referral for medication is made when the symptoms are more persistent and/or severe.