Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Yes, stress, anxiety or panic attacks could be a cause of these symptoms especially in young patients. However if the problem is recurrent then other conditions like hyperthyroidism may be considered. I suggest you consult a doctor who would enquire for her full medical history and perform relevant investigations to rule out secondary causes. In the mean time try to engage her in physical activity, yoga and other relaxation techniques and have family talk sessions to reduce any stress she may have.