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[82] Symptom inductions generally occur for one minute and may include: Intentional hyperventilation creates lightheadedness, derealization, blurred vision, dizziness Spinning in a chair creates dizziness, disorientation Straw breathing creates dyspnea, airway constriction Breath holding creates sensation of being out of breath Running in place creates increased heart rate, respiration, perspiration Body tensing creates feelings of being tense and vigilant Another form of psychotherapy that has shown effectiveness in controlled clinical trials is panic-focused psychodynamic psychotherapy, which focuses on the role of dependency, separation anxiety, and anger in causing panic disorder