A panic attack is a sudden episode of intense fear that triggers severe physical reactions — racing heart, shortness of breath, chest pain, dizziness, sweating, trembling, and a profound sense that something terrible is happening or about to happen. Panic attacks typically peak within minutes and subside within 20 to 30 minutes — but the intensity of the experience makes them feel much longer and much more dangerous than they are.
Panic disorder develops when panic attacks become recurrent and when significant anxiety about future attacks — and the changes in behaviour that anxiety produces — becomes a persistent feature of daily life. The disorder involves three interconnected elements: the panic attacks themselves, anticipatory anxiety about future attacks, and the avoidance behaviours designed to prevent them.
The tragedy of panic disorder is that the avoidance that feels protective actually sustains and worsens the condition. By avoiding the situations and sensations associated with panic, the brain never learns that those situations and sensations are safe — keeping the threat response activated and the panic cycle going. Effective therapy breaks this cycle directly.
Panic attacks are not dangerous. They cannot cause heart attacks, suffocation, or loss of consciousness — despite feeling exactly like they might. And panic disorder responds to therapy at among the highest rates of any anxiety condition — most people who complete a course of CBT for panic disorder experience dramatic reduction or complete elimination of panic attacks. At Serene Minds, all sessions are via secure, HIPAA-compliant online video.
“Panic attacks are terrifying — but they are not dangerous. And the brain that learned to panic can be taught to feel safe again. That is precisely what therapy does.”