There is no single answer to this question. A number of factors appear to contribute to the etiology of Panic Disorder. These include heredity, biology, conditioning, family environment and upbringing, current life stress, personal belief system, individual ability to recognize, monitor and control emotions, and many other factors. Research indicates that Panic Disorder, although often chronic, is a treatable condition. Treatment is often a combination of nonpharmacologic options including patient education, counseling and supportive psychotherapy, as well as pharmacologic intervention.
Medication is available to treat and alleviate symptoms.
The combination of both modes of treatment make a contribution to successful outcomes. Comprehensive and skillful treatment programs help individuals improve their overall quality of life. Panic attacks and panic disorders are coming out of the closet and into public awareness. It does mean however, that you have a specialized condition which may require specialized treatment. The good news is that it is possible to learn to cope.