The causes of panic attack just before falling asleep include psychological factors, physiological factors, and pathological factors. 1. Psychological factors: In the case of emotional tension, stress and anxiety, sleep will be affected, and panic attacks may occur just before falling asleep. People with this kind of problem should communicate with their family members and friends more often to reduce anxiety, and listen to soothing music before going to bed to relax their mood. 2. Physiological factors: If you drink a lot of strong tea or coffee before going to bed, your sympathetic nerves will be easily stimulated, and your heart will beat faster, so you may experience panic attacks just before you fall asleep. Before going to bed, you should try to avoid drinking strong tea and coffee, and do not eat a lot of food. 3. Pathological factors: Arrhythmia, myocardial ischemia, heart failure and other conditions can also lead to panic attacks just before falling asleep. If you have any of the above conditions, it is recommended to seek medical advice and treatment under the guidance of a doctor. In addition, it is recommended to create a good sleeping environment, such as trying to keep the bedroom quiet and dim in order to fall asleep comfortably.