Panic Attacks: Symptoms, Causes, and How to Cope

What is a Panic Attack?

Panic attacks, also known as anxiety attacks, are common among individuals struggling with anxiety and stress management. These episodes can last for several minutes and often mimic the symptoms of a heart attack, leading many to seek emergency medical care. When a panic attack occurs, the body's fight-or-flight response is triggered, releasing adrenaline and cortisol, which result in physical and psychological symptoms.

Symptoms of a Panic Attack

Physical Symptoms

  • Racing heart

  • Sweating

  • Trembling or shaking

  • Shortness of breath

  • Chest pain or tightness

  • Dizziness or lightheadedness

  • Nausea or vomiting

  • Numbness or tingling in the hands or feet

  • Hot flashes or chills

Psychological Symptoms

  • Intense fear or dread

  • Feeling like you are losing control

  • A sense of impending doom

  • Confusion or disorientation

  • Depersonalization (feeling detached from yourself)

  • Derealization (feeling like the world is not real)

Causes of Panic Attacks

  • Genetics: Family history can increase susceptibility.

  • Brain Chemistry: Imbalances in serotonin and other neurotransmitters.

  • Stress and Trauma: Life events, trauma, and chronic stress.

  • Triggers: Phobias, specific situations, and substance use.

  • Medical Conditions: Certain health conditions can contribute to panic attacks.

How to Manage a Panic Attack

Self-talk

  • Mantra Repetition:  Using a mantra to remind yourself that you’re safe and that this feeling of impending doom has an endpoint can be helpful.  You can use variations of the example below.

    •  "I am having a panic attack. I am safe. I can be calm. This will end soon."

Breathing Exercises

  • 4-7-8 Breathing: Inhale for 4 seconds, hold for 7, exhale for 8.

  • Diaphragmatic Breathing: Breathe deeply through your abdomen, not your chest.

  • Box Breathing: Inhale, hold, exhale, and hold again, each for 4 seconds.

Progressive Muscle Relaxation

  1. Find a quiet place and get comfortable.

  2. Inhale for 4 seconds and tense a muscle group (e.g., hands), then exhale for 4 seconds and release.

  3. Repeat for other muscle groups (arms, shoulders, face, legs, feet).

5-4-3-2-1 Grounding Technique

  • 5: Name five things you can see.

  • 4: Name four things you can touch.

  • 3: Name three things you can hear.

  • 2: Name two things you can smell.

  • 1: Name one thing you can taste.

When to Seek Professional Help

If you're experiencing frequent panic attacks, reaching out to a therapist can provide valuable support. Therapy can help you manage symptoms, address underlying causes, and develop coping strategies. With the right tools, you can reduce the intensity and frequency of panic attacks and regain control over your well-being.

Final Thoughts

Panic attacks are challenging but manageable. By understanding your symptoms and practicing calming techniques, you can navigate these episodes more effectively and improve your overall mental health.


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