Panic Attacks

The Physiology of Panic

Panic attacks are sudden, overwhelming episodes of intense fear that activate your body’s fight-or-flight response—even when there’s no real threat. Understanding the biological cascade that occurs can help demystify the experience and reduce anxiety about the symptoms themselves.

What Happens During a Panic Attack?

• The amygdala perceives a threat—real or imagined—and triggers a fear response.
• Adrenaline floods the system, increasing heart rate and redirecting blood flow to major muscles.
• Breathing speeds up to deliver more oxygen, while non-essential functions like digestion slow down.
• Physical symptoms such as chest pain, dizziness, tingling, and sweating often follow.

Though uncomfortable, these symptoms are not dangerous. They’re your body’s attempt to protect you from harm—even if there’s no actual threat.

Breaking the Fear-of-Fear Cycle

Many individuals begin to fear the panic attacks themselves, leading to anticipatory anxiety and avoidance behaviors. Over time, this can significantly limit daily functioning and quality of life.

Panic Attack vs. Heart Attack

While panic attacks can mimic heart attacks, there are key differences. Panic symptoms typically subside within 20–30 minutes, come in waves, and are often triggered by stress or internal sensations. However, any chest pain accompanied by radiating pain or nausea should be medically evaluated.

Diagnosis and Treatment

At Alice’s Psychiatry & Wellness, we provide comprehensive evaluations to distinguish panic disorder from other conditions. Our evidence-based treatments may include:

• Cognitive Behavioral Therapy (CBT): Reframes catastrophic thinking and encourages gradual exposure to feared sensations.
• Acceptance and Commitment Therapy (ACT): Encourages mindful awareness and values-based living despite anxiety.
• Medication: SSRIs and fast-acting medications may be used in conjunction with therapy to manage symptoms.

Get Help from Professionals Who Understand

If you’re ready to break free from the grip of panic, you don’t have to do it alone. Our team offers compassionate, expert care through secure telepsychiatry sessions tailored to your needs and lifestyle.

For more information on panic disorder and treatment options, visit the National Institute of Mental Health.

Contact Alice’s Psychiatry & Wellness today to start your recovery journey and reclaim peace of mind.