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A person practising deep breathing as part of coping with panic attacks through relaxation techniques.

How to Cope with Panic Attacks

Panic attacks are sudden periods of intense fear or discomfort that can strike without warning. They can be overwhelming and may cause you to feel as though you’re losing control or even having a heart attack. Although panic attacks can be frightening, the good news is that with the right strategies and treatments, they can be managed. In this blog, we’ll explore the symptoms of panic attacks, their causes, and the treatment options available to help you cope.

What Are Panic Attacks?

A panic attack is a sudden episode of intense fear or anxiety that can occur without any apparent trigger. These attacks typically peak within minutes and can cause a variety of physical and emotional symptoms. While panic attacks are often brief, the emotional aftermath can linger, leaving individuals feeling fearful of having another attack.

Panic attacks are a common symptom of panic disorder, but they can also occur in people with other anxiety disorders, depression, or certain medical conditions.

Symptoms of Panic Attacks

Panic attacks can be distressing, both physically and emotionally. Common symptoms include:

  • Rapid heart rate or palpitations

  • Sweating

  • Shaking or trembling

  • Shortness of breath or a feeling of being smothered

  • Chest pain or discomfort

  • Nausea or abdominal distress

  • Dizziness, lightheadedness, or faintness

  • Chills or hot flashes

  • Tingling or numbness in the hands or feet

  • Feelings of choking or a lump in the throat

  • Feelings of unreality or detachment from oneself

  • Fear of losing control or “going crazy”

  • Fear of dying

Close-up of a person sitting indoors looking distressed, representing the physical and emotional symptoms of a panic attack.

These symptoms can vary from person to person, but they all contribute to the overwhelming sensation that many individuals experience during a panic attack. The fear and discomfort are real, even if there is no immediate danger.

What Causes Panic Attacks?

Panic attacks often arise without warning, but there are several factors that can increase the likelihood of experiencing them. Understanding the potential causes can help in coping and treatment. Some common causes and triggers of panic attacks include:

1. Genetic Factors

There may be a hereditary component to panic attacks. People with a family history of anxiety disorders or panic attacks are more likely to experience them. Genetic predisposition can make individuals more sensitive to stress and more prone to developing panic disorder.

2. Stress and Anxiety

High levels of stress or anxiety can contribute to the onset of panic attacks. Stressful life events, such as job changes, financial difficulties, relationship problems, or the loss of a loved one, can trigger panic attacks in individuals who are already vulnerable to anxiety.

3. Trauma or PTSD

Individuals who have experienced trauma, such as abuse, accidents, or natural disasters, may be more prone to panic attacks. Panic attacks can also be a symptom of post-traumatic stress disorder (PTSD), which may occur after experiencing a traumatic event.

4. Hyperventilation

Breathing too rapidly or shallowly (known as hyperventilation) can trigger physical sensations that mimic panic attack symptoms, such as dizziness, lightheadedness, and shortness of breath. This can create a cycle of fear that leads to a panic attack.

5. Substance Use

Certain substances, such as caffeine, alcohol, or recreational drugs, can trigger panic attacks or make existing anxiety symptoms worse. Additionally, withdrawal from certain medications or substances can cause panic-like symptoms.

6. Medical Conditions

Panic attacks can also be linked to other health conditions, including heart problems, respiratory issues, or thyroid disorders. It’s important to consult a healthcare professional to rule out any underlying medical issues if you experience symptoms of a panic attack.

Treatment Options for Panic Attacks

Panic attacks are treatable, and a variety of options are available to help manage and reduce their occurrence. These treatments can range from therapy and medication to lifestyle changes and self-care strategies.

1. Cognitive Behavioural Therapy (CBT)

Cognitive Behavioural Therapy (CBT) is one of the most effective treatments for panic attacks. CBT helps individuals identify negative thought patterns and behaviours that contribute to anxiety. By learning to challenge and reframe these thoughts, people can reduce their fear and anxiety.

A specific type of CBT called Exposure Therapy is often used to help individuals face the situations or sensations that trigger their panic attacks in a controlled and gradual way. Over time, exposure helps desensitise the person to their triggers, reducing the frequency and intensity of panic attacks.

2. Medication

In some cases, medication may be prescribed to help manage panic attacks, particularly if they are frequent or severe. Some of the medications commonly used to treat panic attacks include:

  • Selective serotonin reuptake inhibitors (SSRIs): These are antidepressants that can help reduce anxiety and prevent panic attacks.

  • Benzodiazepines: These fast-acting medications can provide quick relief during a panic attack. However, they are typically prescribed for short-term use due to the risk of dependence.

  • Beta-blockers: These medications can help manage the physical symptoms of panic attacks, such as rapid heart rate and tremors.

It’s important to discuss medication options with a healthcare provider to find the best approach for managing your symptoms.

3. Relaxation Techniques

Learning to relax the body and mind can be an effective way to prevent and cope with panic attacks. Relaxation techniques include:

  • Deep breathing: Slow, deep breaths can help calm the body’s fight-or-flight response. Focus on breathing in for a count of four, holding for four seconds, and exhaling for a count of four.

  • Progressive muscle relaxation (PMR): This technique involves tensing and then relaxing each muscle group in the body, helping to release physical tension and reduce anxiety.

  • Meditation and mindfulness: These practices encourage present-moment awareness, helping individuals focus on the here and now rather than being overwhelmed by anxious thoughts.

4. Lifestyle Changes

Making certain lifestyle changes can help reduce the frequency of panic attacks and manage anxiety in general. Some tips include:

  • Regular exercise: Physical activity can reduce stress and improve mood by releasing endorphins, the body’s natural “feel-good” chemicals.

  • Sleep hygiene: Adequate sleep is essential for mental and physical health. Aim for 7-9 hours of quality sleep per night to reduce anxiety and stress.

  • Healthy diet: A balanced diet that includes plenty of fruits, vegetables, and whole grains can help improve overall wellbeing. Avoid caffeine and sugar, which can exacerbate anxiety.

  • Avoiding alcohol and drugs: Limiting or eliminating alcohol and recreational drugs can reduce the likelihood of triggering panic attacks.

5. Support Systems

Having a support system is crucial when managing panic attacks. Talking to family, friends, or a therapist can help individuals feel understood and supported. Support groups for anxiety and panic disorder can also be beneficial for sharing experiences and coping strategies.

Coping Strategies During a Panic Attack

When experiencing a panic attack, there are several techniques you can try to help manage the symptoms:

  • Acknowledge the attack: Remind yourself that the panic attack is not life-threatening and that it will pass.

  • Focus on your breath: Take slow, deep breaths to calm your nervous system.

  • Use grounding techniques: Focus on the present moment by engaging your senses. For example, try touching objects around you and naming them aloud.

  • Shift your focus: Distract yourself with an activity, such as listening to music, counting objects, or engaging in a conversation.

  • Seek support: If possible, talk to someone you trust to help calm your nerves.

When to Seek Professional Help

If panic attacks are frequent, severe, or interfering with your daily life, it’s important to seek professional help. A psychologist can help diagnose the condition and provide tailored treatment options, including therapy and medication. With the right support, it is entirely possible to manage panic attacks and reduce their frequency and intensity.

Conclusion

Panic attacks can be an overwhelming and frightening experience, but they are treatable. Understanding the symptoms, causes, and available treatment options is key to managing them effectively. Whether through therapy, medication, relaxation techniques, or lifestyle changes, there are numerous ways to cope with and reduce the impact of panic attacks.

If you’re struggling with panic attacks, know that help is available. Reach out to a psychologist to discuss the best treatment plan for you. With the right approach, you can regain control over your life and reduce the frequency of panic attacks.

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Our Psychologists are highly qualified, with Masters or Doctorate degrees in Clinical Psychology. We use evidence-based approaches, including Cognitive Behaviour Therapy (CBT), Mindfulness, and Dialectical Behaviour Therapy (DBT), to tailor treatment to meet each individual’s unique needs.

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