Furthermore, if Roman’s SAR were flexible, he’d understand that if he did pass out in public, it wouldn’t be the end of the world. He’d understand that he could handle the embarrassment he’d feel and that the embarrassment, regardless of how intense, would pass too. Roman has panic disorder because his secondary anxious response is stuck. He lives in the anxiety
box of a rigid pattern of thinking, attending, and acting in the same ways day after day.