anxiety attack symptoms

Anxiety Attack Symptoms: Signs, Types & What to Do

Paula Team3 min read

Evidence-informed content reviewed for accuracy and safety

Introduction

You're going about your day when suddenly-your heart races. Your chest tightens. You can't breathe. You're terrified.

Is this a heart attack? Are you dying?

It's probably an anxiety attack. Here's everything you need to know.

What Is an Anxiety Attack?

An anxiety attack is a surge of intense fear or anxiety that peaks within minutes. It's your body's fight-or-flight response-triggered by real or perceived threats.

Unlike panic attacks, anxiety attacks usually have a trigger (though not always obvious).

Physical Symptoms

  • Racing heart
  • Chest tightness or pain
  • Shortness of breath
  • Sweating
  • Trembling
  • Dizziness or lightheadedness
  • Nausea
  • Tingling or numbness
  • Hot flashes or chills

Mental/Emotional Symptoms

  • Feeling like you're dying
  • Feeling like you're losing control
  • Derealization (feeling unreal)
  • Depersonalization (feeling detached)
  • Fear of going crazy
  • Racing thoughts
  • Catastrophic thinking

Common Triggers

  • Stress at work or home
  • Health concerns
  • Financial worries
  • Social situations
  • Major life changes
  • Conflict
  • Trauma reminders
  • Sometimes: no trigger at all

Anxiety Attack vs Panic Attack

Anxiety AttackPanic Attack
TriggerUsually yesUsually no
OnsetGradualSudden
DurationMinutes to hoursUsually 5-20 min
IntensityModerate to highVery high
FearAbout the triggerAbout dying/dying

What to Do During an Anxiety Attack

1. Remember: You're Not Dying

This feels terrifying but is not dangerous. Your body is responding to perceived threat.

2. Box Breathing

Inhale 4, hold 4, exhale 4, hold 4. Repeat. This calms your nervous system.

3. 5-4-3-2-1 Grounding

Name 5 things you see, 4 you can touch, 3 you hear, 2 you smell, 1 you taste.

4. Challenge the Thought

Ask: "Is this 100% true? What's the evidence?"

5. Move

Shake your body out. Go for a walk. Movement releases stuck adrenaline.

6. Cold Water

Splash cold water on your face or hold ice.

When to Seek Help

See a professional if:

  • Attacks are frequent
  • You're avoiding situations because of fear
  • Symptoms interfere with daily life using substances to
  • You're cope
  • You have thoughts of self-harm

FAQ

How long does an anxiety attack last?

Usually 5-30 minutes, though some can last hours. They peak and then subside.

Can anxiety attacks happen while sleeping?

Yes-"nocturnal panic attacks" They're just as frightening.

Are anxiety attacks dangerous?

occur during sleep.No. While they feel dangerous, they're not. You're not dying, having a heart attack, or losing control.

Can you prevent anxiety attacks?

Not always, but you can reduce frequency with therapy, medication, breathing techniques, and stress management.

What's the difference between anxiety and anxiety disorder?

Everyone experiences anxiety. Anxiety disorder is when anxiety is frequent, severe, and interferes with life.

Conclusion

Anxiety attacks are awful-but they're not dangerous. Your body is doing what it thinks is protecting you.

Learn the symptoms. Know the triggers. Have a plan.

paula has breathing exercises and grounding techniques ready for when anxiety strikes. Open the app, take a breath, and remember: this will pass.


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