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I haven't been here in forever.. I always come back for advice.
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The thing is, they are in your head, but the effects of anxiety on your body are real. When anxiety is at high levels it can make your heart beat faster, make you feel hot, make your breathing quicker. These signs can quite easily make you think your having a heart attack or some horrible illness but what is happening is an old defense mechanism, your body is preparing for you to run or flee. Problem is, this system can also be triggered by fears in our heads, not just by real world dangers.