They include but are not limited to: low blood sugar levels, certain heart conditions, excessive intake of caffeine, drug use, tumors (some tumors cause excess adrenaline which can lead to anxiety attacks), or an overactive thyroid gland. These conditions and others can lead to anxiety attacks and may be at the root of your problem. Anyone who experiences frequent nocturnal panic attack episodes should begin to question their nightly regiment before they go to bed. Ideally a person who experiences frequent nightly attacks should make it their goal to reduce the common causes of panic attacks. Unfortunately, when it comes to panic attacks, almost anything can be the trigger. A sign of anxiety attack can be anything from irregular heartbeats to chest pain. They also include: shaking, twitching, trembling, hot flashes, chills, “rubber legs”, tingling in extremities, difficulty sleeping, unpredictable sleeping patterns, body tension, aches and pains, sweating, clamminess, and stomach problems such as nausea or “butterflies”. This fear can range from not being able to travel a few hours away from the home, all the way down to not being able to leave your home all together. An agoraphobia panic attack is basically an attack that occurs when an agoraphobic attempts to go beyond their safe boundaries. The problem with treating an agoraphobia panic attack is that the only real way to overcome the attack is for the person to attempt to push their limits. Although panic attacks may seem to be random to some, there are actually a great number of factors and biochemical processes that occur during a panic attack that make it anything but chaotic at the outset. The human body actually reacts in a set number of stages, all of which help prepare the body and train it how to react. In order to control panic attack symptoms, you need to help prevent them in the first place. Options One option is to consult a physician about taking antidepressants. Some medicines on the market, such as Paxil and Prozac, can help panic attack sufferers from reoccurrences. Another option available is cognitive-behavior therapy.