how to deal with panic attacks

How to Deal With Panic Attacks (Complete Guide)

Paula Team2 min read

Evidence-informed content reviewed for accuracy and safety

Introduction

You're having a panic attack. Your heart races. You can't breathe. You feel like you're dying.

Panic attacks are terrifying. But you can get through them.

In this guide, I'll share how to deal with panic attacks.

What Is a Panic Attack?

Definition

A panic attack is a sudden surge of intense fear or discomfort that peaks within minutes.

Symptoms

  • Racing heart
  • Sweating
  • Trembling
  • Shortness of breath
  • Feeling choking
  • Chest pain
  • Nausea
  • Dizziness
  • Feeling unreal
  • Fear of dying
  • Numbness
  • Chills or hot flashes

What Causes Panic Attacks?

Biological Factors

  • Genetics
  • Brain chemistry
  • Medical conditions

Psychological Factors

  • Stress
  • Anxiety disorders
  • Trauma

Environmental Factors

  • Caffeine
  • Substances
  • Lack of sleep

During a Panic Attack

1. Remember

"This is a panic attack. It feels dangerous but isn't. It will pass."

2. Breathe

Slow, controlled breathing:

  • Inhale 4 seconds
  • Exhale 6-8 seconds

3. Ground Yourself

5-4-3-2-1:

  • 5 things you see
  • 4 things you touch
  • 3 things you hear
  • 2 things you smell
  • 1 thing you taste

4. Don't Fight It

Trying to stop panic often makes it worse. Let it happen.

5. Remind Yourself

  • This will pass
  • You've gotten through this before
  • You're not dying

6. Find an Anchor

  • Feel your feet on the floor
  • Hold something
  • Focus on one object

After a Panic Attack

1. Rest

Your body has been through a lot.

2. Process

Think about what triggered it (if known).

3. Self-Care

Do something soothing.

4. Don't Ruminate

Don't analyze it excessively.

Preventing Panic Attacks

1. Therapy

  • CBT
  • Panic disorder treatment

2. Medication

  • SSRIs
  • Anti-anxiety meds

3. Lifestyle

  • Regular exercise
  • Good sleep
  • Limit caffeine/alcohol
  • Stress management

4. Avoid Triggers

  • If possible, avoid known triggers

5. Build Coping Skills

Practice techniques when calm.

Professional Help

When to Seek Help

  • Frequent panic attacks
  • Avoiding situations
  • Significant distress
  • Impact on daily life

Types of Help

  • Therapy
  • Medication
  • Both

Finding a mental health professional

  • CBT specialist
  • Anxiety disorders

Conclusion

Panic attacks are awful but treatable. Use these techniques during attacks. Get professional help if needed. You can overcome this.


Want more help? Paula is a free mental health app with panic attack tools. Download it today.


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