Fortunately after the first attack and the awareness that usually occurs, most nocturnal panic attack sufferers can begin to find their options. A nocturnal panic attack tends to be triggered during certain events, or after certain actions. For some this can be after eating disagreeable foods, or an attack might occur if a particularly stressful event happened before sleeping. There are other symptoms as well, but many of these are dependent on the individual panic attack sufferer. Once again, the difference between a panic attack and a panic attack disorder is the frequency and the overall gravity of the anxiety and the symptoms. Many of those with an attack disorder seek counselling and are prescribed medication as well to combat the effects of the symptoms. An anxiety panic attack can be marked by many key factors. Overwhelming feelings of fear, and hopelessness are all signs of an attack. Other signs include increased heart rate, sweating, tingling in the extremities, headaches, nausea, extreme emotional fluctuations. Symptoms The list could go on for quite sometime, as symptoms tend to be a mixed bag when concerning panic. Setting goals to overcome their attacks is the only way an agoraphobic will ever be able to finally master their fears. This process is best done with the help of family and friends, who can help you to make those steps all the while keeping the person assured of their relative safety. It isn t completely known what causes agoraphobic panic attacks, or why the panic attacks manifest in this form. Patients discuss shaking, trembling, chills, numbness in extremities, heart palpitations, and trouble breathing among other things that are caused by the great difficulty of a panic attack. Anxiety attack heart problems are common because of the close association stress has with other heart problems. Behavioral therapy has proven to be quite effective. Some have had success with a treatment known as EMDR [Movement Desensitization and Reprocessing]. This is a treatment that uses eye movements to discern information and reassign the way the brain processes it. Other alternative and natural panic attack natural remedy choices take the form in hypnosis, acupuncture and massage therapy.