Quick read
Key points
- 1
Panic attacks are episodes of intense fear with unpleasant physical symptoms that usually occur without any outside threat being present. You may be short of breath or breathe rapidly (hyperventilate) and suffer from sweating, dizziness, nausea, numbness, chest pains, or palpitations.
- 2
Use slow controlled breathing, reduce avoidance, recognise recurrent panic, and seek assessment when symptoms are new, frequent or impairing.
- 3
Self-care measures do not help after a few weeks of consistent effort.
01 · Know
What is Panic attacks?
Panic attacks are episodes of intense fear with unpleasant physical symptoms that usually occur without any outside threat being present. You may be short of breath or breathe rapidly (hyperventilate) and suffer from sweating, dizziness, nausea, numbness, chest pains, or palpitations.
Attacks may be linked to anxiety, stress, depression, a phobia (such as fear of flying), or taking stimulants or drugs, but symptoms can develop for no apparent reason.
02 · Understand
Clinical context
See your doctor first
Make an appointment to see your doctor to check that your symptoms are not due to a more serious illness such as heart disease.
03 · Act
Seek further medical advice if:
- 1Self-care measures do not help after a few weeks of consistent effort.
- 2Your panic attacks are becoming more frequent or are interfering with your daily life.
- 3You are avoiding more and more situations out of fear of triggering an attack.
- 4You feel persistently anxious or depressed between attacks.
04 · Prevent & manage
Practical steps
Do not avoid your triggers
Avoidance provides short-term relief but reinforces panic over time. Gently and gradually facing situations in which you are prone to attacks causes symptoms to fade more quickly.
- 1Shift your focus outward.When you feel symptoms developing, focus on something happening near you rather than concentrating on your own sensations.
- 2Practice deep breathing daily.Regular deep breathing and muscle relaxation exercises reduce overall anxiety and make attacks less frequent.
- 3Reduce stimulants.Too much caffeine may trigger attacks. Cut down on caffeinated drinks, reduce alcohol and smoking, and avoid recreational drugs.
- 4Eat regular meals.Keeping blood sugar levels stable prevents lightheadedness that can escalate into a full attack.
- 5Exercise regularly.Regular physical activity boosts general well-being and reduces baseline stress and anxiety levels.
Practical technique
Practical technique — rebreathing
Restoring carbon dioxide during hyperventilation
Rapid breathing during a panic attack lowers carbon dioxide levels in your blood, causing dizziness and making the attack feel worse. This simple technique reverses that quickly.
- Step 1: Hold a small paper bag loosely over your mouth and nose.
- Step 2: Breathe in and out into the bag about 10 times.
- Step 3: Then breathe normally for 15 seconds.
- Step 4: Repeat the cycle until your breathing slows down.
No bag available? Cup both hands tightly over your mouth and nose — this has a similar effect.
Medical information notice
Health education, not individual medical advice
BarnMD Health Library provides general health education for public health literacy. Reading this article does not establish a doctor-patient relationship and this information is not a diagnosis, prescription, or personalised treatment plan. If you have symptoms or concerns about your health, seek appropriate advice from a qualified healthcare professional. If you develop emergency warning signs, seek urgent or emergency medical attention.
BarnMD Bottom Line
Panic attacks feel frightening, but they are not dangerous. Learning to recognize early signs and practicing calming techniques can help you regain a sense of control.
You are not alone, and help is available.