An article in Scientific American is entitled, Panic Attack Sufferers Are Unaware of Symptoms: Panic attacks seem to come out of nowhere but research finds symptoms appear up to one hour before the sufferer is aware of the attack. The conclusion of this article ends with a statement and a question: The study authors note that this lack of awareness may explain why meds work better for sufferers than Cognitive Behavioral Therapy does: How is the patient supposed to work on something that they are unaware is already in progress? Why is it assumed that people need remain unaware of their physiological experience?