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Mind & Mood

What is happening to me during a panic attack?

A panic attack is a sudden rush of intense fear with strong physical symptoms, like a racing heart, chest tightness, shortness of breath, dizziness, shaking, sweating and a feeling of losing control. It’s your body’s alarm system firing at full strength. Panic attacks are frightening but not dangerous, and they usually pass within minutes.

A panic attack is a sudden rush of intense fear with strong physical symptoms, like a racing heart, chest tightness, shortness of breath, dizziness, shaking, sweating and a feeling of losing control. It’s your body’s alarm system firing at full strength. Panic attacks are frightening but not dangerous, and they usually pass within minutes.

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Does this feel familiar?

  • You were standing in the queue at the supermarket and suddenly felt like the floor was moving.

  • You’ve been to A&E convinced it was your heart, and they told you it was panic.

  • You now sit near the door in every meeting, just in case.

  • You’ve stopped taking the Tube at rush hour, and you haven’t told anyone why.

What might be going on

During a panic attack, your body releases a surge of adrenaline as though you’re in danger. Your heart speeds up, your breathing gets faster and shallower, and blood moves to your muscles. That’s why you feel dizzy, tingly and breathless.

Panic attacks can come out of the blue, often during or after a stressful period. After one, many people start to fear the next, which keeps the alarm system on high alert and can lead to avoiding places.

Panic responds well to support. Learning what’s happening in your body takes away some of the fear, breathing techniques help in the moment, and therapies like CBT help break the cycle.

One small thing. Just for today.

Name five things you can see, four you can hear, three you can touch. Practise it today, when you’re calm, so it’s ready when you need it.

Let’s untangle a few assumptions

A panic attack can make you faint or have a heart attack.

A panic attack can make you faint or have a heart attack.

Breathing into a paper bag is the best fix.

Breathing into a paper bag is the best fix.

Panic attacks only happen to anxious people.

Panic attacks only happen to anxious people.

Support can look different

An approach you might not have considered

An approach you might not have considered

A different way in

A different way in

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A little perspective

The NHS says most panic attacks last between 5 and 20 minutes. Even when it feels endless, your body can’t keep producing that level of adrenaline for long, and the wave does pass.

Questions you might be asking

What does a panic attack feel like?

What does a panic attack feel like?

How do I stop a panic attack?

How do I stop a panic attack?

Can panic attacks happen for no reason?

Can panic attacks happen for no reason?

What is the difference between a panic attack and an anxiety attack?

What is the difference between a panic attack and an anxiety attack?

What is the best treatment for panic attacks?

What is the best treatment for panic attacks?

When to get medical help

If you have chest pain and aren’t sure whether it’s panic, or it’s your first episode, call 999 or go to A&E. See your GP if you’re having repeated panic attacks or avoiding places because of them. You can also self-refer to NHS Talking Therapies in England.

Find support that fits you

Find support that fits you

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