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  • Writer's pictureElmbrook Psychiatry

Understanding Panic Attacks: A Comprehensive Guide for Mental Health Professionals in Wisconsin


As mental health professionals, we often encounter patients who suffer from panic attacks. Though panic attacks are a common mental disorder, it can be confusing and overwhelming for both the patient and healthcare provider. This comprehensive guide aims to provide you with a deeper understanding of panic attacks and its associated terms. We will discuss panic disorder, anxiety attacks, panic symptoms, triggers, causes, treatment, management, coping strategies, prevention, self-help, medications, breathing exercises, relaxation techniques, cognitive-behavioral therapy, support groups, awareness, nighttime panic attacks, heart palpitations, hyperventilation, and agoraphobia. By the end of this guide, we hope you will feel confident in providing better care and support for your patients with panic attacks.


Panic Disorder: Panic disorder is a type of anxiety disorder that causes frequent and unexpected panic attacks. A person with panic disorder experiences sudden and intense fear that builds up rapidly, often accompanied by physical symptoms such as chest pain, sweating, palpitations, and shortness of breath. Panic disorder can significantly affect a person’s everyday life and is more common in women than in men.


Anxiety Attack: Anxiety attacks and panic attacks are often used interchangeably, but they are not the same. Anxiety attacks are not recognized as a mental disorder but are often an acute reaction to a stressful or fearful situation. Anxiety attacks are characterized by feelings of overwhelming anxiety, worry, and fear, although physical symptoms are not always present.


Panic Symptoms: Panic symptoms typically include emotional, cognitive, and physical symptoms. Emotional symptoms include feelings of fear, dread, and unease. Cognitive symptoms include racing thoughts, a sense of impending doom, and a feeling of being detached or losing control. Physical symptoms include chest pain, sweating, palpitations, shortness of breath, dizziness, and trembling.


Panic Attack Triggers: Panic attack triggers vary from person to person and can include specific situations, events, or experiences that are associated with feelings of fear, anxiety, or stress. Common triggers include phobias, social situations, stress, caffeine, alcohol, medications, medical conditions, and even changes in weather or seasonal patterns.


Panic Attack Causes: The exact causes of panic attacks are not known, but factors that contribute to the development of panic disorder include genetic, environmental, and psychological factors. Genetics may play a role in predisposing someone to panic disorder. Environmental factors can include stressful life events or traumatic experiences. Psychological factors can include anxiety and depression as well as the fear of having a panic attack.


Panic Attack Treatment: Panic attack treatment typically involves a combination of medication and therapy. Antidepressants, benzodiazepines, and beta-blockers are often prescribed to manage symptoms, while therapy can help individuals better understand and manage their panic attacks. Cognitive-behavioral therapy, exposure therapy, and psychodynamic therapy are all effective treatments for panic disorder.


Panic Attack Management: Panic attack management involves self-care strategies that can help individuals manage their symptoms. These strategies can include identifying and avoiding triggers, practicing relaxation techniques, developing healthy coping mechanisms, and creating a supportive environment.


Panic Attack Coping Strategies: Coping strategies can include techniques such as deep breathing exercises, progressive muscle relaxation, mindfulness meditation, and visualization exercises. These techniques can help individuals manage their symptoms during a panic attack and prevent future episodes.


Panic Attack Prevention: Preventative measures can include identifying triggers, avoiding stressful or anxiety-inducing situations, practicing healthy lifestyle habits such as exercise, good sleep hygiene, and reducing caffeine and alcohol intake.


Panic Attack Self-Help: Self-help strategies can include engaging in stress-reducing practices such as yoga, tai chi, or exercise. Additionally, journaling, creating a support system, and practicing mindfulness can be helpful in managing panic attacks.


Panic Attack Medications: Medications that are commonly used to treat panic attacks include antidepressants, benzodiazepines, and beta-blockers. These medications are typically prescribed by a healthcare provider and can be effective in managing symptoms.


Breathing Exercises for Panic Attacks: Breathing exercises such as deep breathing, diaphragmatic breathing, and paced breathing can help individuals manage their symptoms during a panic attack.


Relaxation Techniques for Panic Attacks: Relaxation techniques such as progressive muscle relaxation, visualization, and mindfulness can be used to manage symptoms and prevent future panic attacks.


Cognitive-behavioral therapy (CBT) for Panic Attacks: CBT is an effective treatment for panic attacks that involves identifying and challenging negative thought patterns and beliefs. CBT can help individuals better understand their symptoms and develop healthy coping strategies for managing them.


Panic Attack Support Groups: Support groups can provide individuals with a safe and supportive environment to discuss their experiences with panic attacks. These groups can be a valuable resource for those dealing with panic attacks and can help individuals feel less alone in their struggles.


Panic Attack Awareness: Raising awareness about panic attacks can help remove the stigma associated with mental illness and encourage individuals to seek help when they need it.


Panic Attack During Sleep (Nighttime Panic Attacks): Nighttime panic attacks can be particularly distressing as they can wake a person up from sleep and result in more intense symptoms. Implementing good sleep hygiene can help prevent nighttime panic attacks, and therapy can also be effective in managing symptoms.


Panic Attack and Heart Palpitations: Heart palpitations are a common symptom of panic attacks and can be caused by the body’s fight or flight response. Managing the symptoms of panic attacks can also help manage heart palpitations.


Panic Attack and Hyperventilation: Hyperventilation is a common symptom of panic attacks and involves breathing too quickly or deeply. Learning breathing techniques that promote relaxation can help reduce hyperventilation during panic attacks.


Panic Attack and Agoraphobia: Agoraphobia is a common complication of panic disorder and involves the fear of being in situations or places where escape may be difficult. Managing panic symptoms and seeking treatment can help prevent the development of agoraphobia.



Panic attacks are a common mental health disorder and can significantly impact an individual’s everyday life. Understanding the symptoms, triggers, causes, treatment options, and prevention strategies can help healthcare providers provide better care and support for their patients. By implementing coping strategies, engaging in preventative measures, and seeking treatment when necessary, individuals with panic attacks can better manage their symptoms and improve their overall quality of life. As mental health professionals, we play a critical role in raising awareness about panic attacks and encouraging individuals to seek help when they need it.


This blog post is informational only and not intended to be medical advice. Schedule an appointment today to see a psychiatric provider online or in person.


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