Best description of an anxiety attack

This description of an anxiety attack in Sally Rooney’s Normal People is particularly accurate for a specific sort of anxiety and, especially as it proceeds, becomes exceptionally detailed and therefore very helpful to anyone trying to understand what a sufferer of such an attack goes through.

His anxiety, which was previously chronic and low-level, serving as a kind of all-purpose inhibiting impulse, has become severe. His hands start tingling when he has to perform minor interactions like ordering coffee or answering a question in class. Once or twice he’s had major panic attacks: hyperventilation, chest pain, pins and needles all over his body. A feeling of dissociation from his senses, an inability to think straight or interpret what he sees and hears. Things begin to look and sound different, slower, artificial, unreal. The first time it happened he thought he was losing his mind, that the whole cognitive framework by which he made sense of the world had disintegrated for good, and everything from then on would just be undifferentiated sound and colour. Then within a couple of minutes it passed, and left him lying on his mattress coated in sweat.

Sally Rooney, Normal People (Faber & Faber, 2018), p. 206.

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