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Sometimes, individuals go through a similar worry about their heart as they do with their breathing. People convince themselves that if they worry enough about their heart, or concentrate too much upon its actions, that it may somehow get confused and forget how to beat correctly. It is quite common for people who suffer from panic attacks to regularly check in on their heart at intervals, to make sure it is still beating away. It is true that, mentally, we can all affect the pattern of our heartbeats. When you concentrate hard you may notice an irregular beat or two. This is nothing to get upset about. Remember that our bodies have an incredible internal intelligence and simply telling your heart out of panic that it might stop does not mean that it takes any heed of our fears. Learn to become more comfortable with your heart, let it do its job. Listen to it when relaxed and also when exercising. The more comfortable you are with the diversity and range of your heartbeats, the more confidence you will have in it when it is exerting itself. If you are worried about heart problems, treat yourself to an EKG, and put your mind to rest. If you have had an EKG and the doctor has cleared you, you can safely assume you do not have heart problems. Also, if your symptoms occur at any time and not solely upon exertion, this is additional evidence against a heart disorder. Unreality/Disconnectedness There is a symptom not often mentioned in panic attack literature (induced by excessive anxiety) that I would like to discuss. It is the sensation of unreality. Many people become distressed by this sensation and feel they may be losing their mind. People who experience panic attacks report feeling disconnected from their world, or having a sensation of unreality. The sensation is described as if the world has become nothing more than a projection of a film. This sensation is 17