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| URL | https://psychcentral.com/anxiety/the-difference-between-panic-manic-and-psychotic-attacks |
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| Meta Title | Panic Attacks vs. Episode of Psychosis: What's The Difference? |
| Meta Description | Panic attacks occur randomly or due to intense fear. Psychosis is a symptom of an underlying mental health condition. Understanding both may help you cope. |
| Meta Canonical | null |
| Boilerpipe Text | Panic attacks and psychosis are two completely distinct experiences that cause different symptoms and have different underlying causes.
Panic attacks are experienced as a sudden and extreme fear often coupled with physical symptoms, such as sweating, feeling out of breath or dizzy, or your heart racing. Thereās usually no sense of what caused the panic attack.
Psychosis, the experience of losing some touch with reality, is a symptom of an underlying mental health condition, such as
schizophrenia
.
Though they may occur together, they donāt share similar symptoms, causes, or underlying conditions.
A person who experiences either may benefit from treatment for the underlying cause of either a
panic attack
or
psychosis
. Each will require different treatment to help a person cope with future episodes.
Panic attacks and psychosis are two different things.
Panic attacks are caused by various factors, such as a family history of
anxiety disorder
, other mental health conditions, like substance use or depression, and biological factors.
In addition to fear, you can experience physical symptoms, such as shortness of breath and a rapid heartbeat.
By contrast, psychosis is a symptom of an underlying mental health condition, such as schizophrenia. It involves seeing or hearing things that arenāt there or believing things that donāt make sense in reality.
In a
small study from 2016
, researchers found that approximately 45% of patients with schizophrenia also had anxiety disorders. Therefore, itās possible to experience both panic attacks and psychosis.
Panic attacks often involve overwhelming, intense fear that starts suddenly. They often involve additional physical symptoms, which
can include
:
nausea
shortness of breath
racing heart
dizziness
chest pain
heart palpitations
An estimated
4.7%
of adults in the United States experience panic disorder (characterized by repeated panic attacks) at least once in their lifetime.
Panic attacks can occur out of nowhere or have an obvious cause. When they occur, a person doesnāt know why the attack occurred. When thereās a known cause, itās often due to an external stressor, such as a
phobia
or fear.
Psychosis describes conditions that affect the mind where a person loses some contact with reality. During a psychotic episode, a person may have trouble figuring out what is and isnāt real.
delusions (false beliefs)
hallucinations (seeing or hearing things that donāt exist)
odd behaviors
incoherent speech
In addition, a person going through a psychotic episode may experience additional issues, such as:
anxiety
depression
sleep problems
trouble with overall functioning
social withdrawal
lack of motivation
A
systematic review from 2018
that reviewed several studies noted that about 1 in every 150 people will receive a diagnosis of a psychotic disorder in their lifetime.
Several mental health conditions can cause psychosis, including:
bipolar disorder
severe lack of sleep
schizophrenia
severe depression
In addition, certain medical conditions can also trigger psychosis, including:
syphilis
Alzheimerās disease
brain tumors
multiple sclerosis (MS)
Psychosis can also be caused by substance use, such as alcoholism, or the use of recreational drugs, like cocaine or LSD.
Treatments and coping with each condition will vary based on the underlying condition causing you or a loved one to experience either a panic attack or psychosis.
Treating panic attacks often involve different therapies, such as
cognitive behavior therapy (CBT)
. CBT involves helping you change how you think and respond to things around you, which can help prevent panic attacks.
Another method to help treat panic attacks is exposure therapy. This form of CBT involves confronting your fears and helping you change how you think and respond to them.
Your doctor also may prescribe certain medications to prevent panic attacks. These
can include
:
beta-blockers
antidepressants
, such as serotonin-norepinephrine reuptake inhibitors (SNRIs) or selective serotonin reuptake inhibitors (SSRIs)
anti-anxiety medications
, such as benzodiazepines
Psychosis often requires medication to help prevent or manage future psychotic episodes and to address the underlying condition.
The main form of treatment to prevent psychotic episodes in people with conditions, such as schizophrenia, is antipsychotic drugs.
Some examples include:
chlorpromazine (Thorazine)
clozapine (Clozaril)
haloperidol (Haldol)
A person experiencing psychosis will also likely need therapy, which comes in many forms. These treatments and recommendations will vary based on the condition, so itās important for you or a loved one to work closely with a doctor to get the right treatment for your needs.
Panic attacks and psychosis are two different occurrences. Panic attacks occur randomly or due to intense fear, while psychosis is a symptom of an underlying mental health condition.
While itās possible they can occur together; they do not have to be directly related to each other.
Treatment for psychosis and panic attacks will look different and require different forms of treatment. |
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# The Difference Between Panic Attacks and Psychosis

Medically reviewed by [Cydney Ortiz, PsyD](https://www.psychcentral.com/reviewers/cydney-ortiz-psyd) ā Written by [Jenna Fletcher](https://www.psychcentral.com/authors/jenna-fletcher) ā Updated on September 7, 2022
- [Panic vs. psychosis](https://psychcentral.com/anxiety/the-difference-between-panic-manic-and-psychotic-attacks#panic-vs-psychosis)
- [Panic attacks](https://psychcentral.com/anxiety/the-difference-between-panic-manic-and-psychotic-attacks#panic-attacks)
- [Psychosis](https://psychcentral.com/anxiety/the-difference-between-panic-manic-and-psychotic-attacks#psychosis)
- [Treatment](https://psychcentral.com/anxiety/the-difference-between-panic-manic-and-psychotic-attacks#treatment)
- [Recap](https://psychcentral.com/anxiety/the-difference-between-panic-manic-and-psychotic-attacks#recap)
Panic attacks and psychosis are two completely distinct experiences that cause different symptoms and have different underlying causes.

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Panic attacks are experienced as a sudden and extreme fear often coupled with physical symptoms, such as sweating, feeling out of breath or dizzy, or your heart racing. Thereās usually no sense of what caused the panic attack.
Psychosis, the experience of losing some touch with reality, is a symptom of an underlying mental health condition, such as [schizophrenia](https://psychcentral.com/schizophrenia/schizophrenia-overview).
Though they may occur together, they donāt share similar symptoms, causes, or underlying conditions.
A person who experiences either may benefit from treatment for the underlying cause of either a [panic attack](https://psychcentral.com/anxiety/panic-attack-symptoms) or [psychosis](https://psychcentral.com/lib/psychosis-overview). Each will require different treatment to help a person cope with future episodes.
## [Key differences]()
Panic attacks and psychosis are two different things.
Panic attacks are caused by various factors, such as a family history of [anxiety disorder](https://psychcentral.com/anxiety/anxiety-disorders), other mental health conditions, like substance use or depression, and biological factors.
In addition to fear, you can experience physical symptoms, such as shortness of breath and a rapid heartbeat.
By contrast, psychosis is a symptom of an underlying mental health condition, such as schizophrenia. It involves seeing or hearing things that arenāt there or believing things that donāt make sense in reality.
In a [small study from 2016](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5248417/), researchers found that approximately 45% of patients with schizophrenia also had anxiety disorders. Therefore, itās possible to experience both panic attacks and psychosis.
## [Panic attacks]()
Panic attacks often involve overwhelming, intense fear that starts suddenly. They often involve additional physical symptoms, which [can include](https://www.nimh.nih.gov/health/statistics/panic-disorder):
- nausea
- shortness of breath
- racing heart
- dizziness
- chest pain
- heart palpitations
An estimated [4\.7%](https://www.nimh.nih.gov/health/statistics/panic-disorder) of adults in the United States experience panic disorder (characterized by repeated panic attacks) at least once in their lifetime.
Panic attacks can occur out of nowhere or have an obvious cause. When they occur, a person doesnāt know why the attack occurred. When thereās a known cause, itās often due to an external stressor, such as a [phobia](https://psychcentral.com/anxiety/specific-phobia-symptoms) or fear.
## [Psychosis]()
Psychosis describes conditions that affect the mind where a person loses some contact with reality. During a psychotic episode, a person may have trouble figuring out what is and isnāt real.
Symptoms [can include](https://www.nimh.nih.gov/health/topics/schizophrenia/raise/what-is-psychosis):
- delusions (false beliefs)
- hallucinations (seeing or hearing things that donāt exist)
- odd behaviors
- incoherent speech
In addition, a person going through a psychotic episode may experience additional issues, such as:
- anxiety
- depression
- sleep problems
- trouble with overall functioning
- social withdrawal
- lack of motivation
A [systematic review from 2018](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5896987/) that reviewed several studies noted that about 1 in every 150 people will receive a diagnosis of a psychotic disorder in their lifetime.
Several mental health conditions can cause psychosis, including:
- [bipolar disorder](https://psychcentral.com/bipolar/bipolar-disorder)
- severe lack of sleep
- schizophrenia
- severe depression
In addition, certain medical conditions can also trigger psychosis, including:
- syphilis
- Alzheimerās disease
- brain tumors
- multiple sclerosis (MS)
Psychosis can also be caused by substance use, such as alcoholism, or the use of recreational drugs, like cocaine or LSD.
## [Treatments and coping]()
Treatments and coping with each condition will vary based on the underlying condition causing you or a loved one to experience either a panic attack or psychosis.
Treating panic attacks often involve different therapies, such as [cognitive behavior therapy (CBT)](https://psychcentral.com/lib/in-depth-cognitive-behavioral-therapy). CBT involves helping you change how you think and respond to things around you, which can help prevent panic attacks.
Another method to help treat panic attacks is exposure therapy. This form of CBT involves confronting your fears and helping you change how you think and respond to them.
Your doctor also may prescribe certain medications to prevent panic attacks. These [can include](https://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms):
- beta-blockers
- [antidepressants](https://psychcentral.com/depression/antidepressant-medications), such as serotonin-norepinephrine reuptake inhibitors (SNRIs) or selective serotonin reuptake inhibitors (SSRIs)
- [anti-anxiety medications](https://psychcentral.com/anxiety/medication-and-anxiety), such as benzodiazepines
Psychosis often requires medication to help prevent or manage future psychotic episodes and to address the underlying condition.
The main form of treatment to prevent psychotic episodes in people with conditions, such as schizophrenia, is antipsychotic drugs.
Some examples include:
- chlorpromazine (Thorazine)
- clozapine (Clozaril)
- haloperidol (Haldol)
A person experiencing psychosis will also likely need therapy, which comes in many forms. These treatments and recommendations will vary based on the condition, so itās important for you or a loved one to work closely with a doctor to get the right treatment for your needs.
## [Letās recap]()
Panic attacks and psychosis are two different occurrences. Panic attacks occur randomly or due to intense fear, while psychosis is a symptom of an underlying mental health condition.
While itās possible they can occur together; they do not have to be directly related to each other.
Treatment for psychosis and panic attacks will look different and require different forms of treatment.
5 sourcescollapsed
- Kiran C, et al. (2016). Prevalence of comorbid anxiety disorders in schizophrenia.
<https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5248417/>
- Moreno-Küstner B, et al. (2018). Prevalence of psychotic disorders and its association with methodological issues. A systematic review and meta-analyses.
<https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5896987/>
- Panic disorder. (nd).
<https://www.nimh.nih.gov/health/statistics/panic-disorder>
- Panic disorder: When fear overwhelms. (2022).
<https://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms>
- What is psychosis? (nd).
<https://www.nimh.nih.gov/health/topics/schizophrenia/raise/what-is-psychosis>
[FEEDBACK:]()

Medically reviewed by [Cydney Ortiz, PsyD](https://www.psychcentral.com/reviewers/cydney-ortiz-psyd) ā Written by [Jenna Fletcher](https://www.psychcentral.com/authors/jenna-fletcher) ā Updated on September 7, 2022
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Medically reviewed by [Nicole Washington, DO, MPH](https://www.psychcentral.com/medical-team)
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Medically reviewed by [Janet Brito, Ph.D., LCSW, CST-S](https://www.psychcentral.com/medical-team)
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| Readable Markdown | Panic attacks and psychosis are two completely distinct experiences that cause different symptoms and have different underlying causes.
Panic attacks are experienced as a sudden and extreme fear often coupled with physical symptoms, such as sweating, feeling out of breath or dizzy, or your heart racing. Thereās usually no sense of what caused the panic attack.
Psychosis, the experience of losing some touch with reality, is a symptom of an underlying mental health condition, such as [schizophrenia](https://psychcentral.com/schizophrenia/schizophrenia-overview).
Though they may occur together, they donāt share similar symptoms, causes, or underlying conditions.
A person who experiences either may benefit from treatment for the underlying cause of either a [panic attack](https://psychcentral.com/anxiety/panic-attack-symptoms) or [psychosis](https://psychcentral.com/lib/psychosis-overview). Each will require different treatment to help a person cope with future episodes.
Panic attacks and psychosis are two different things.
Panic attacks are caused by various factors, such as a family history of [anxiety disorder](https://psychcentral.com/anxiety/anxiety-disorders), other mental health conditions, like substance use or depression, and biological factors.
In addition to fear, you can experience physical symptoms, such as shortness of breath and a rapid heartbeat.
By contrast, psychosis is a symptom of an underlying mental health condition, such as schizophrenia. It involves seeing or hearing things that arenāt there or believing things that donāt make sense in reality.
In a [small study from 2016](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5248417/), researchers found that approximately 45% of patients with schizophrenia also had anxiety disorders. Therefore, itās possible to experience both panic attacks and psychosis.
Panic attacks often involve overwhelming, intense fear that starts suddenly. They often involve additional physical symptoms, which [can include](https://www.nimh.nih.gov/health/statistics/panic-disorder):
- nausea
- shortness of breath
- racing heart
- dizziness
- chest pain
- heart palpitations
An estimated [4\.7%](https://www.nimh.nih.gov/health/statistics/panic-disorder) of adults in the United States experience panic disorder (characterized by repeated panic attacks) at least once in their lifetime.
Panic attacks can occur out of nowhere or have an obvious cause. When they occur, a person doesnāt know why the attack occurred. When thereās a known cause, itās often due to an external stressor, such as a [phobia](https://psychcentral.com/anxiety/specific-phobia-symptoms) or fear.
Psychosis describes conditions that affect the mind where a person loses some contact with reality. During a psychotic episode, a person may have trouble figuring out what is and isnāt real.
- delusions (false beliefs)
- hallucinations (seeing or hearing things that donāt exist)
- odd behaviors
- incoherent speech
In addition, a person going through a psychotic episode may experience additional issues, such as:
- anxiety
- depression
- sleep problems
- trouble with overall functioning
- social withdrawal
- lack of motivation
A [systematic review from 2018](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5896987/) that reviewed several studies noted that about 1 in every 150 people will receive a diagnosis of a psychotic disorder in their lifetime.
Several mental health conditions can cause psychosis, including:
- [bipolar disorder](https://psychcentral.com/bipolar/bipolar-disorder)
- severe lack of sleep
- schizophrenia
- severe depression
In addition, certain medical conditions can also trigger psychosis, including:
- syphilis
- Alzheimerās disease
- brain tumors
- multiple sclerosis (MS)
Psychosis can also be caused by substance use, such as alcoholism, or the use of recreational drugs, like cocaine or LSD.
Treatments and coping with each condition will vary based on the underlying condition causing you or a loved one to experience either a panic attack or psychosis.
Treating panic attacks often involve different therapies, such as [cognitive behavior therapy (CBT)](https://psychcentral.com/lib/in-depth-cognitive-behavioral-therapy). CBT involves helping you change how you think and respond to things around you, which can help prevent panic attacks.
Another method to help treat panic attacks is exposure therapy. This form of CBT involves confronting your fears and helping you change how you think and respond to them.
Your doctor also may prescribe certain medications to prevent panic attacks. These [can include](https://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms):
- beta-blockers
- [antidepressants](https://psychcentral.com/depression/antidepressant-medications), such as serotonin-norepinephrine reuptake inhibitors (SNRIs) or selective serotonin reuptake inhibitors (SSRIs)
- [anti-anxiety medications](https://psychcentral.com/anxiety/medication-and-anxiety), such as benzodiazepines
Psychosis often requires medication to help prevent or manage future psychotic episodes and to address the underlying condition.
The main form of treatment to prevent psychotic episodes in people with conditions, such as schizophrenia, is antipsychotic drugs.
Some examples include:
- chlorpromazine (Thorazine)
- clozapine (Clozaril)
- haloperidol (Haldol)
A person experiencing psychosis will also likely need therapy, which comes in many forms. These treatments and recommendations will vary based on the condition, so itās important for you or a loved one to work closely with a doctor to get the right treatment for your needs.
Panic attacks and psychosis are two different occurrences. Panic attacks occur randomly or due to intense fear, while psychosis is a symptom of an underlying mental health condition.
While itās possible they can occur together; they do not have to be directly related to each other.
Treatment for psychosis and panic attacks will look different and require different forms of treatment. |
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