There is limited evidence-based literature on mental and emotional health in people with severe asthma specifically. However, there is growing awareness of a link between mental health, the course of asthma, and the outcomes of asthma treatment. It is not uncommon for people with chronic illness to develop feelings of depression and anxiety, and panic disorder. Although the relationship is not completely understood, it is clear that anxiety and depression can negatively affect the course of asthma, resulting in increased symptoms, increased use of health care services, and frequent asthma attacks / exacerbations. Having a potentially life-threatening disease such as severe asthma also increases anxiety and depression in many patients and may trigger panic attacks in some. In addition, people with depression and anxiety are often physically and emotionally drained, which may limit their ability to self-manage their asthma. For more information about asthma and mental health see Anxiety & Depression for detailed assessment / treatment recommendations.