Those who suffer from anxiety attacks show different symptoms.

Sometimes it's talking fast or stuttering. Sometimes it's not talking at all. Sometimes it's unpredictable irritability. Sometimes it's clenching your teeth or wringing your hands. Sometimes it's sitting in a trance. Sometimes it's hypersensitivity. Sometimes it's not being able to stop crying or shaking.

And there are many different forms and causes of anxiety attacks -- maybe OCD, social disorder, agoraphobia, PTSD, etc.

For me, the anxiety attack I am most familiar with is a "Self-Esteem Attack."

For normal people, if they make some kind of mistake, get criticized by someone, etc., they can think, "Okay, I screwed up," and then move on with their day.

For me, and for others who suffer from self-esteem attacks, they don't think this way. Instead of thinking, "I made a mistake," they think, "I am a mistake." When someone doesn't like them, instead of thinking, "Well, that's their loss," they think, "There must be something wrong with me."

And for a few moments, a few hours or maybe even a few days, you're filled with an all-consuming and illogical self-hate. You internalize a circumstance, thinking it's telling of the kind of person you are when, in fact, it does not.

For instance, a couple weeks ago, I missed a meeting at work. I was selected to be on a jury in a trial and I was so nervous that I completely forgot to check my work calendar. And, as a result, I received an email to me and my boss from a pretty pissed off co-worker.

And I started to panic.

"I'm going to get fired. How did I even get this job? I am such an idiot. I'm so unprofessional. Everyone's going to hate me. No one will ever respect me again."

And, guess what? It turned out to be nothing.

I called my boss, who told me, "You had jury duty, You had a lot on your mind, and you've never missed a meeting before. How many times have people stood you up? Seriously don't worry about it."

I emailed the people who I missed the meeting with, profusely apologizing. "Thank you for your email. It's okay. It was only a half an hour," they responded.

With my brain, I had completely blown things out of proportion. My palms started to sweat, my face was hot, and I felt like I was going to be sick. I jumped immediately to the very unrealistic conclusion that I would be fired, homeless and no one would want to hire me again. All  because of very simple, easy to correct mistake.

The Self-Esteem Institute describes a Self-Esteem Attack as occurring "whenever a person with low self esteem does or says something that he afterwards deems to have been inappropriate, stupid, rude, obnoxious, off target, or inaccurate."

"At that time, the person may experience immediate remorse, excruciating anxiety, his heart racing, his face turning red, a sinking feeling of embarrassment, depression and/or devastation."

For me, when I'm having a Self-Esteem Attack, for that moment, I can't see anything outside of how bad I feel about myself. Even though in the back of my mind, I know the things my brain is telling me aren't true, I can't seem to stop. And, when I try to tell myself, "Stop it! You're overreacting!" I only feel worse.

So, what should you do if you're having a Self-Esteem Attack?

Well, first of all, as I always say, know that you're not alone. And know that you don't have to feel this way alone. Don't be ashamed and don't apologize to anyone for your Self-Esteem Attack.

Instead, find a friend, a family member or a therapist to call when you feel like this, to be there for you until it passes.

And make sure it's someone you trust. If anyone ever makes you feel like you're a burden -- know that they are wrong. I have learned, for every person who judges you for the way you feel, there are even more who understand, who feel the same way and who want to support you. 

Once you know that there's nothing wrong with feeling the way you feel, slowly and surely, you're start to realize that there is also nothing wrong with you.