A panic attack is an episode of intense fear and anxiety that arises suddenly without any actual danger or threat present. It typically manifests with physical symptoms such as rapid breathing, heart palpitations, sweating, chest tightness, shortness of breath, dizziness, and nausea. A panic attack is a psychological disorder that negatively affects an individual's daily quality of life. It can be treated and controlled through methods like cognitive-behavioral therapy, psychotherapy, and medication.

What Are the Symptoms of a Panic Attack?

Panic attacks are characterized by a sudden and short-lived intense fear or anxiety. During this process, the individual may experience a challenging array of symptoms both physically and emotionally.

Common symptoms include an increased heart rate, palpitations, and a feeling of tightness in the chest area. Difficulty in breathing, a sense of suffocation, or feeling as if the air is insufficient are typical features of a panic attack. Dizziness, lightheadedness, and even feeling like one might faint are common experiences. Physical symptoms such as cold sweats, heat flashes, and involuntary trembling can make the person feel more helpless during the attack.

Other physical responses observable during a panic attack include abdominal pain, nausea, dry mouth, and muscle tension. Numbness or tingling in the hands and feet can reinforce the perception of losing control. Intense emotional reactions like fear of losing control or dying are among the most distinct psychological reflections of a panic attack.

Symptoms usually peak in a short time and can be strong enough to negatively affect the individual's daily life. Panic attacks are treatable, and it is important for individuals experiencing such symptoms to seek medical support.

What Should Be Done During a Panic Attack?

A panic attack is a condition that develops suddenly and immerses the individual into intense fear, anxiety, and unease. Proper interventions during this process are crucial to alleviate the impact of the attack and help the person calm down. One of the most effective methods during a panic attack is for the individual to focus on their breathing. Deep breathing, holding the breath for a few seconds, and exhaling slowly can help relax both the body and mind. Regularly practicing breathing techniques allows the individual to use this skill more easily during panic attacks.

Changing position is also a beneficial method during a panic attack. The person can sit, keep their back straight, and place their hands on their knees, which can provide a greater sense of safety. Closing the eyes and redirecting attention to another point is another effective way to mitigate the effects of the attack. Developing positive thoughts during this time contributes to relaxation. For instance, reminding oneself that "These feelings are temporary, and I can control them." can be quite soothing.

Physical contact plays an important role in providing relaxation. Taking a warm shower, washing hands, or listening to a favorite song can help distract the mind and facilitate calming. Such small yet effective methods help the person feel safer and more at ease. 

Receiving professional assistance in coping with panic attacks is highly important in the long term. By communicating with experts such as psychiatrists or psychologists, it is possible to understand the causes of panic attacks and formulate an appropriate treatment plan. Methods such as cognitive behavioral therapy can help the individual restructure their thoughts and behaviors during the treatment process. In addition, techniques like breathing exercises, meditation, and relaxation exercises can enhance one's self-control skills.

Establishing an honest communication with professionals and regularly adhering to expert recommendations improve the success of treatment. Being patient and allowing oneself time is also significant during this process. Every step taken in coping with panic attacks is aimed at enhancing the person's quality of life.

What Are the Causes of Panic Attacks?

Panic attacks typically occur without a specific trigger. However, research indicates that a combination of biological, psychological, and environmental factors can contribute to the development of a panic attack. Chemical imbalances in the brain, particularly changes in serotonin and norepinephrine levels, may play a role in the occurrence of panic attacks. Additionally, disturbances in autonomic nervous system functions such as heart rate and breathing patterns may also predispose someone to experiencing panic attacks.

Genetic predisposition can increase the risk of developing panic attacks among family members diagnosed with panic disorder. As a result, the likelihood of encountering panic attacks might be higher. Traumatic life events (e.g., early life abuse, loss of a close person, serious accidents), high levels of stress, and suppressed emotions can also trigger panic attacks.

Some individuals may also experience nighttime panic attacks. Nighttime panic attacks occur when the person is asleep and result in awakening with intense fear. They generally happen during the deep sleep phase, when the person is not dreaming. Individuals experiencing nighttime panic attacks may abruptly awaken with palpitations, shortness of breath, and fear of dying. This condition can disrupt sleep quality and increase anxiety levels during the day.

Panic Attacks in Children: Diagnosis and Symptoms

Panic attacks occur not only in adults but also in children. The question of how panic attack diagnosis is made in children is among the frequently asked topics by parents. To make a diagnosis, the child's behaviors, emotional responses, and physical symptoms should be evaluated carefully. Symptoms such as sudden crying spells, shortness of breath, abdominal pain, chest tightness, and feeling faint can also be observed in children.

The diagnosis of panic attacks in children is made by a child psychiatrist following a detailed evaluation process. During this process, the child's medical history, family history, and current living conditions are analyzed comprehensively. Additionally, it is investigated if the panic attack symptoms are caused by another physical illness. After diagnosis, an appropriate treatment plan is prepared. Age-appropriate psychotherapy methods such as play therapy and art therapy are typically preferred for children.

How Long Does a Panic Attack Last?

Panic attacks are typically short-lived, but the effects experienced can be very intense. The average duration of a panic attack ranges from 5 to 30 minutes. Attacks start abruptly and peak within a few minutes. In some cases, the effect might last up to an hour, although this is rare. In addition to the duration of a panic attack, the fatigue, anxiety, and stress levels experienced afterwards can also affect the individual. In some individuals, a condition described as "post-attack anxiety" may develop. This can result in the person avoiding daily life activities, withdrawing from social settings out of fear of experiencing another panic attack. Hence, addressing the question of how long does a panic attack last should consider not only the duration but also the duration of effects.

How to Get Over a Panic Attack?

The answer to how to get over a panic attack is divided into techniques applicable during an attack and long-term treatment methods. Techniques Applicable During an Attack:

  • Breathing exercises: Taking deep and slow breaths regulates heart rate, calms the mind.
  • Creating a distraction: Methods to occupy the mind can include counting fingers or focusing on objects in the environment.
  • Self-suggestion: Using affirmation phrases like "This is just an attack, it is temporary." increases the sense of control.

Long-Term Treatment Methods:

  • Cognitive Behavioral Therapy (CBT) helps the individual recognize and change the thought patterns that lead to panic attacks.
  • Medication therapy: Antidepressants or anxiolytics may be used under doctor supervision, particularly in severe cases.
  • Lifestyle changes: Regular exercise, attention to sleep patterns, and limiting caffeine and alcohol consumption reduce the risk of panic attacks.

These methods can reduce the severity of panic attacks and help control their frequency. The question of how to get over a panic attack should be assessed not only during "attack moments" but throughout the entire treatment process.

Learning to Live with Panic Attacks

Coping with panic attacks is a long-term process, and there are steps that need to be taken to improve the individual's quality of life. First, it should be understood that a panic attack is not a real threat but a false alarm system generated by the mind. This awareness facilitates getting through panic attack moments more easily. Stress management in daily life is of great importance. Relaxing activities like meditation, yoga, breathing exercises, and nature walks can reduce the risk of panic attacks.

Joining support groups and sharing experiences can also be beneficial in preventing the individual from feeling isolated. Moreover, remaining in regular communication with a psychiatrist enhances the effectiveness of the treatment and boosts the individual's self-confidence. Learning to live with panic attacks involves not centering them in one's life, but rather managing them as a controllable process. Over time, the severity of panic attacks diminishes, and the individual becomes aware of their own mental strength.

What Is the Difference Between Panic Disorder and a Panic Attack?

A panic attack is generally a sudden and rapidly peaking intense fear or anxiety. These attacks may sometimes occur in isolation and may not recur. However, panic disorder is characterized by recurrent panic attacks along with intense anxiety about the next attack in-between them.

Panic disorder can more deeply affect daily life. The individual might constantly avoid social settings out of fear of another panic attack, may not want to be alone, or may find it difficult to go to work. This condition is termed "anticipatory anxiety." If left untreated, panic disorder can lead to secondary disorders such as depression, social phobia, or agoraphobia. Therefore, simply experiencing a few panic attacks does not suffice for a diagnosis of panic disorder. A specialist psychiatrist determines the diagnosis by evaluating the frequency, duration, and impact on the individual's quality of life.

What Situations Trigger Panic Attacks?

Panic attacks generally occur suddenly, but certain situations or habits may trigger them. Recognizing these triggers is an important step in answering the question of how to get over a panic attack. Common triggers include:

  • Excessive stress: High work pressure, exams, financial difficulties, or family conflicts can set the stage for a panic attack.
  • Traumatic experiences: Previous events like accidents, natural disasters, losses, or abuse may alter brain chemistry and lead to panic attacks.
  • Caffeine and stimulants: 
  • Irregular sleep: 
  • Hyperventilation (rapid breathing): 
  • Fear of being alone: Particularly in individuals who have previously experienced a panic attack while alone, this fear can act as a trigger.

Recognizing these factors, taking precautions, and managing the process with professional support when necessary, can significantly reduce the frequency and severity of panic attacks.

How Can You Help a Loved One Experiencing a Panic Attack?

Providing support to someone experiencing a panic attack greatly contributes to them weathering the attack process more lightly. However, it is essential to be careful and conscious at this point. A wrong approach could lead to the person feeling more helpless. Here are some ways to help someone experiencing a panic attack:

  • Stay calm and do not panic: 
  • Talk to them, make them feel your presence: 
  • Guide them to breathing exercises: Breathe slowly together. You can guide them with instructions like "Inhale through your nose for 4 seconds, hold for 4 seconds, exhale for 4 seconds."

Do not judge or belittle: Statements like "You are exaggerating." or "It's not that bad." can make the person feel bad and prolong the panic attack.

  • Provide a safe environment: 
  • Suggest professional support: 

Remember, the greatest needs for someone experiencing a panic attack are understanding and trust. A patient, supportive, and knowledgeable approach plays a crucial role in their recovery process.

Frequently Asked Questions

What causes nighttime panic attacks?

Nighttime panic attacks typically occur due to stress, irregular sleep patterns, or suppressed anxiety. Sudden changes in brain chemicals during sleep can trigger these types of attacks.

How is panic attack diagnosis made in children?

Child psychiatrists diagnose panic attacks in children by evaluating the child's symptoms, family history, and behaviors. The diagnostic process may be supported by methods such as play therapy.

How long does a panic attack last?

A panic attack typically lasts between 5 and 30 minutes. However, its effects may be felt for a few hours.

How to get over a panic attack?

Breathing exercises, distraction techniques, positive affirmations, therapy, and medication if necessary are effective methods in coping with panic attacks.  

Creation Date : 14.05.2025
Update Date : 30.06.2025
Author : Yeliz YİĞİT
Communication : 444 23 23
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