A newer psychodynamic theory proposes that anxiety is an interaction between temperament and environment. Clients enter the world with an inborn physiologic reactivity that predisposes them toward early fearfulness. As they struggle with dependency conflicts, they develop weak representations of themselves and use poor strategies, such as avoidance, to cope with life stresses. Their feelings of safety decrease, and they develop a loss of control along with an increase of negative emotions, culminating in anxiety and an initial panic attack.