Hi there.....FYI....My first panic attack started with tingling in my hands and forearms then eventually in my legs below the knee. The overall attack got more severe than that. I went to the hospital because I thought for sure I was dying from some type of allergic reaction. I felt better as soon as I started talking to the ER doctor.....I got my heart checked, etc. I was told it was panic. Since that day I have had several more mini panic attacks. I say mini because I can recognize the attack is coming on because of the tingling in the arms and the racey feeling that strikes me. Because I know what it is, I immediately do the following which has worked everytime for me so far: 1) I tell myself: no one has ever died from a panic attack and no one has ever ended-up in a rubber room for the rest of thier life do to a panic attack 2) I let my body go completely limp and concentrate on swinging outside on a swing 3) I play the alphebet game, a is for apple, b is for banana, c is for cat, etc. Generally it passes. Maybe this will help you too! I realize that the longer I wait to relax and do the above things.....the harder it is for me to get a handle on the attack. For me, I use those things so that it doesn't get worst.....a full-blown panic attack. My doctor told me the tingle is from the large amount of addrenaline that your brain released....and your body is trying to get rid of it. It only takes about 2 minutes for your body to absorb the excess addrenaline.....unless you continue to throw yourself into panicing.....then you will continue to release addrenaline in massive amounts and the tingle will continue.