The hallmark of all anxiety disorders is fear or excessive worry about future, health, day to day life events. Some people fell into panic attack you can say anxiety attack as well which need immediate consultation with psychiatrists. This is accompanied by wide range of physical symptoms from head to toe. The common physical symptoms are increased heart rate, breathlessness, choking, chest pain, chest compression, tremors, cold hands and fee. These symptoms appear without obvious organic causes Due to the physical nature of symptoms these patients used pay frequent physician visit. Numerous and unnecessary lab investigations is also conducted.