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The journey into PPPD typically begins with an acute event that triggers dizziness, such as a bout of vertigo, a panic attack, or even a minor head injury. In a healthy response, the brain increases its vigilance to maintain balance during the crisis and then relaxes once the threat has passed. However, in individuals who develop PPPD, the brain remains in a high-alert state long after the initial physical cause has resolved. This results in a persistent feeling of unsteadiness, rocking, or swaying that lasts for three months or more. These symptoms are not constant in intensity but are consistently present on most days, often worsening when the person is upright or moving. pppd528jg5015957 min