Panic Attack – FAQs

Disclaimer: This is general health information only and is not a substitute for advice from your GP or healthcare professional.

1. What is a panic attack?

A panic attack is a sudden episode of intense fear or discomfort that reaches its peak within minutes. It can occur unexpectedly or be triggered by certain situations and is often accompanied by physical and emotional symptoms that can feel overwhelming.

2. What causes panic attacks?

The exact cause is not fully understood, but panic attacks are thought to involve a combination of genetic, biological, and psychological factors. Triggers can include stress, trauma, certain medical conditions, stimulants such as caffeine, or anxiety disorders. Some people may also have a heightened sensitivity to bodily sensations.

3. What are the symptoms of a panic attack?

Symptoms include a racing heart, palpitations, sweating, trembling, shortness of breath, chest pain, nausea, dizziness, chills or hot flashes, feelings of unreality, fear of losing control, or fear of dying. These symptoms usually peak within 10 minutes and then gradually subside.

4. How is a panic attack diagnosed?

Diagnosis is made based on the description of symptoms, their sudden onset, and the absence of an underlying medical condition that could explain them. A healthcare professional may perform tests to rule out heart, lung, or thyroid conditions that can mimic panic attacks.

5. Is a panic attack serious?

While panic attacks are not life-threatening, they can be extremely distressing and may significantly impact daily life. Recurrent panic attacks may indicate panic disorder or another anxiety condition that requires medical assessment.

6. How is a panic attack treated?

Treatment may include psychotherapy, particularly cognitive-behavioural therapy (CBT), which helps people understand and manage panic symptoms. Medications such as selective serotonin reuptake inhibitors (SSRIs) or short-term use of benzodiazepines may be prescribed in certain cases. Breathing exercises and relaxation techniques can also help manage acute attacks.

7. Can panic attacks be prevented?

Prevention focuses on managing triggers and underlying anxiety. This may include therapy, stress management, regular exercise, sufficient sleep, avoiding excessive caffeine or alcohol, and practicing relaxation or mindfulness techniques.

8. When should I see a doctor?

You should see a doctor if you experience repeated panic attacks, if attacks interfere with daily life, or if you are unsure whether your symptoms are caused by a panic attack or a medical condition. Early assessment can help identify panic disorder and other treatable conditions.

9. Can panic attacks recur?

Yes, panic attacks can recur, especially if triggers or underlying anxiety are not addressed. With treatment and coping strategies, frequency and severity can often be reduced.

10. What are the possible complications of panic attacks?

Complications may include the development of panic disorder, agoraphobia (fear of situations where escape is difficult), chronic anxiety, avoidance behaviours, and reduced quality of life. Early recognition and treatment help prevent long-term effects.