What causes panic attacks in the morning?
Patient: Twice now and five months apart, I experienced these symptoms: awakened in early morning with a rush of euphoria lasting about ten seconds, immediately followed by about ten seconds of panic like I am going to die. Then, I experienced the same thing about three more times throughout the day (each time). There are no physical symptoms. I take no medication and have never used recreational drugs and I don’t drink alcohol. What do you think would cause this. The euphoric feeling is great but the panic makes me afraid to think I could have another episode. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.   Please explain your panic symptoms because you say that there are no physical symptoms. Panic attacks are always due to underlying anxiety problems or stress response. I suggest you to provide all the details so as I can help you.  Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand