Patient: Heart is squeezed like sadness when emotional. Then dizziness, numbness in the limbs. Dare not speak, the feeling of frequent death, hear the memory of annoying things more serious. Difficult to self-control. Take heart-saving pills to no avail. Sometimes take sedative drugs. I would like to ask which aspect of the disease Quanzhou Third Hospital Psychiatric Department Zhuang Jianhua: According to your condition, suspected of suffering from panic disorder, panic disorder manifested as repeated palpitations, sweating, tremors, a strong sense of near death or loss of control, feeling a sense of chest pressure, suffocation. The interictal period is normal. However, it needs to be differentiated from the following diseases 1. generalized anxiety disorder, chronic nervousness, 2. terror disorder; intense fear of particular objects, activities or situations. 3. hyperthyroidism, hyperparathyroidism, heart rate disorders, coronary artery disease, pheochromocytoma, hypoglycemia, true vertigo, drug withdrawal, mitral valve prolapse, etc. If the above diseases can be ruled out, panic disorder can be considered, and treatment can be with benzodiazepines or 5-hydroxytryptamine transporter reuptake inhibitors, such as duloxetine (OxyContin).