anxiety attack vs panic attack

Anxiety Attack vs. Panic Attack - What's the Difference?

Paula Team3 min read

Evidence-informed content reviewed for accuracy and safety

Introduction

You've probably heard "anxiety attack" and "panic attack" used interchangeably. But are they the same thing?

Here's what you need to know.

What Is a Panic Attack?

A panic attack is a sudden surge of intense fear or discomfort. It comes out of nowhere - without an obvious trigger.

Panic Attack Symptoms

  • Racing heart
  • Sweating
  • Shaking
  • Shortness of breath
  • Feeling choked
  • Chest pain
  • Nausea
  • Dizziness
  • Derealization (feeling unreal)
  • Fear of dying
  • Numbness/tingling
  • Chills or hot flashes

Panic attacks typically peak within 10 minutes and subside within 20-30 minutes.

What Is an Anxiety Attack?

"Anxiety attack" isn't a clinical term - but it's commonly used to describe a period of intense anxiety.

Unlike panic attacks, anxiety attacks usually have a trigger (worry about something).

Anxiety Attack Symptoms

  • Excessive worry
  • Restlessness
  • Muscle tension
  • Difficulty concentrating
  • Sleep problems
  • Irritability

Anxiety attacks build gradually and can last longer - hours or even days.

Key Differences

FactorPanic AttackAnxiety Attack
OnsetSuddenGradual
TriggerUsually noneUsually something
DurationMinutesHours/days
IntensityVery highModerate to high
Main featurePhysical symptomsWorry + physical symptoms
FearFear of dying/losing controlFear of the trigger

Can You Have Both?

Yes. People with panic disorder often also have generalized anxiety. And vice versa.

How to Cope

During a Panic Attack

  1. Remember: It will pass. You're not dying.
  2. Box breathing: 4-4-4-4
  3. Cold water: Splash on face
  4. Grounding: 5-4-3-2-1
  5. Don't fight it: Let it come, let it go

During an Anxiety Attack

  1. Identify the trigger: What are you worried about?
  2. Challenge the thought: Is it 100% true?
  3. Use coping skills: Breathing, grounding
  4. Take action: Address the worry if you can
  5. Self-care: Sleep, exercise, connection

When to Seek Help

Panic Disorder

If you have recurrent panic attacks:

  • Talk to a doctor
  • Consider therapy (CBT is highly effective)
  • Medication can help

Anxiety Disorder

If anxiety significantly affects your life:

  • Work, school, relationships suffer
  • You avoid situations
  • You use substances to cope

...seek professional help.

FAQ

Are panic attacks dangerous?

No. They feel dangerous, but they're not. You won't die or go crazy.

How long do panic attacks last?

Usually 10-30 minutes. The worst part is typically 10 minutes.

Can you have a panic attack while sleeping?

Yes. Nocturnal panic attacks can wake you up.

What's the difference between anxiety and panic?

Anxiety usually has a trigger and builds gradually. Panic attacks come on suddenly, often with no trigger.

Can anxiety turn into a panic attack?

Yes. Severe anxiety can trigger a panic attack.

Conclusion

Panic attacks and anxiety attacks are different - but both are treatable.

If either is affecting your life, reach out to a professional. Help is available.

You don't have to live with constant fear. Take care of yourself.


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