The mean age at onset for panic attacks in the United States is approximately 22–23 years
among adults. However, the course of panic at tacks is likely influenced by the course of
any co-occurring mental disorder(s) and stre ssful life events. Panic attacks are uncommon,
and unexpected panic attacks are rare, in preadolescent children . Adolescents might be
less willing than adults to openly discuss panic attacks, even though they present with ep-
isodes of intense fear or discom fort. Lower prevalence of pani c attacks in older individuals