A panic attack causes certain specific symptoms such as tachycardia and the feeling of having a heart attack, wheezing and cold sweats. When you try it for the first time and arrive in the emergency room, not knowing what is happening to you, doctors mislead the conversation by talking about stress as if the word panic were taboo. However, panic often comes with images, sometimes at the same time of the day and sometimes as a surprise. The attack of anguish is very different. It is as if a hole is opened in the diaphragm and this is about to absorb all the vital strenght. All you can do is lie down and wait for it to pass. There is no tachycardia and no images or sweats. Just the feeling that something inside you is about to be absorbed or poisoned. I describe this distinction because they are such profound personal experiences that after so many years I can distinguish them well. I have seen, reading many texts, that hardly anyone ever talks about images referring to states of anxiety. I do not know if research has been done in this regard but I have not found any feedback. Yet in me the attacks have always been preceded by images, blurred, but which were repeated every time.