For me, the only difference is whether or not it is “safe” to have a Fishing I make she bends over what’s your superpower shirt. If I am in public, or around people, the answer is no. I am in survival mode and I will do whatever it takes to delay the panic attack. The key word there is delay. Once my anxiety has built up that much, it will only dissipate after an attack. I can delay it while in an unsafe situation, but it will catch up with me when I’m alone. That’s the only time I can have the kind of panic attack where I can’t breathe, or I hyperventilate, and my chest hurts, and my body shakes, and I feel like I’m going to die. Or I wish I would.
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It may be different for Fishing I make she bends over what’s your superpower shirt, but all “internal” panic attacks eventually manifest into physical ones. Just depends on the environment. For example, today, when most of us use the word ‘prayer’ we are thinking about a word-based exchange with God. Sharing thoughts, feelings and desires are all good things to do. But it’s not all that prayer could be. It’s a bit like any other relationship: if all you ever did was present a series of words to your spouse or best friend, you would probably have a pretty shallow relationship with them. Listening to the words of friends is a first step in a close relationship. When people talk about prayer, sometimes we give some attention to that part of prayer: listening for God.