According to the cognitive model of anxiety disorder, panic attacks are a consequence of a person's erroneous and distorted interpretation of various bodily sensations, such as dizziness, sweating, palpitations, shortness of breath, difficulty breathing, etc., as catastrophic and threatening his life. Let's say a person feels slight shortness of breath and in a split second, thanks to catastrophizing, it can be regarded by him as a heart attack, heart attack or impending death. Thanks to this feature, a person can interpret any bodily discomfort or unpleasant sensation as an imminent tragedy. Panic attacks, for example in a person with agoraphobia, can be caused not only by external stimuli, such as a trip on public transport, a walk in a shopping center or on the street , but also internal stimuli, frightening thoughts, images and unpleasant bodily sensations. By and large, any attack of anxiety and panic attacks is triggered by a stimulus. The client says “When I was going down the elevator, I thought that he might suddenly fall down and from this thought (stimulus), I immediately had terrible fear, anxiety, panic, severe sweating, dizziness and a feeling of weak legs. The cognitive model of panic attacks explains the mechanism of their occurrence, firstly, as developing against the background of basic tension in a person with increased anxiety, and those that appear suddenly, without seemingly visible reasons, as they say “bolt from the blue.” In the first case, as described above, a person is subject to an erroneous interpretation of various unpleasant bodily symptoms and sensations or anxious expectations of the panic attack itself. For example, he says, “If I go into the subway now, then panic will cover me,” he enters the subway and panic covers him. In the second case, when panic attacks appear “like a bolt from the blue,” the person loses the connection between triggering the process by sensations in the body and the following panic attack. For example, he says: “I was sitting at work and suddenly I was overcome by a strong attack, for no reason.” In such cases, he simply does not realize his sensations in the body and thoughts about them. 1) My “Course of overcoming depression, anxiety and neurosis.” https://youtu.be/nShHAGTjIno 2) Book “Self-help for neurosis - 15 techniques for fear and anxiety.” https://ridero.ru/books/widget /samopomosh_pri_nevroze/ 3) My courses for psychologists: https://www.b17.ru/a_vyukov/#training2 4) Registration for a face-to-face cognitive behavioral group in St. Petersburg. https://www.b17.ru/trainings/kognitivno- povedencheskaya_gruppa_/