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URLhttps://psychcentral.com/anxiety/the-difference-between-panic-manic-and-psychotic-attacks
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Meta TitlePanic Attacks vs. Episode of Psychosis: What's The Difference?
Meta DescriptionPanic attacks occur randomly or due to intense fear. Psychosis is a symptom of an underlying mental health condition. Understanding both may help you cope.
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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. There’s 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 don’t 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 aren’t there or believing things that don’t make sense in reality. In a small study from 2016 , researchers found that approximately 45% of patients with schizophrenia also had anxiety disorders. Therefore, it’s 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 doesn’t know why the attack occurred. When there’s a known cause, it’s 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 isn’t real. delusions (false beliefs) hallucinations (seeing or hearing things that don’t 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 Alzheimer’s 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 it’s 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 it’s 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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[Quiz](https://www.psychcentral.com/quizzes/anxiety-quiz) - [Symptoms](https://www.psychcentral.com/anxiety/anxiety-disorders) - [Causes](https://www.psychcentral.com/anxiety/causes-of-anxiety-disorders) - [Treatment](https://www.psychcentral.com/anxiety/generalized-anxiety-disorder-treatment) - [Find Support](https://www.psychcentral.com/program/how-to-find-mental-health-support) # The Difference Between Panic Attacks and Psychosis ![](https://i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Cydney-Ortiz-New-Headshot-500x500-Bio.png?w=105&h=105) Medically reviewed by [Cydney Ortiz, PsyD](https://www.psychcentral.com/reviewers/cydney-ortiz-psyd) — Written by [Jenna Fletcher](https://www.psychcentral.com/authors/jenna-fletcher) — 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. ![a mans face that is distorted and pixelated](https://media.post.rvohealth.io/wp-content/uploads/sites/4/2022/09/distorted-abstract-potrait-man-cube-cubic-pattern-1296x728-header-1024x575.jpg) [Share on Pinterest](https://www.pinterest.com/pin/create/button/?url=https%3A%2F%2Fpsychcentral.com%2Fanxiety%2Fthe-difference-between-panic-manic-and-psychotic-attacks&media=https%3A%2F%2Fmedia.post.rvohealth.io%2Fwp-content%2Fuploads%2Fsites%2F4%2F2022%2F09%2Fdistorted-abstract-potrait-man-cube-cubic-pattern-1296x728-header-1024x575.jpg&description=Panic%20Attacks%20vs.%20Episode%20of%20Psychosis%3A%20What's%20The%20Difference%3F "Share on Pinterest") antonio arcos aka fotonstudio photography/Getty Images 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. There’s 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 don’t 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 aren’t there or believing things that don’t 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, it’s 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 doesn’t know why the attack occurred. When there’s a known cause, it’s 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 isn’t 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 don’t 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 - Alzheimer’s 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 it’s important for you or a loved one to work closely with a doctor to get the right treatment for your needs. ## [Let’s 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 it’s 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:]() ![](https://i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Cydney-Ortiz-New-Headshot-500x500-Bio.png?w=105&h=105) Medically reviewed by [Cydney Ortiz, PsyD](https://www.psychcentral.com/reviewers/cydney-ortiz-psyd) — Written by [Jenna Fletcher](https://www.psychcentral.com/authors/jenna-fletcher) — Updated on September 7, 2022 ## RELATED - [4 Steps to Help Someone Having a Panic Attack](https://www.psychcentral.com/anxiety/how-to-help-someone-having-a-panic-attack?utm_source=ReadNext) - [How to Get Through a Panic Attack](https://www.psychcentral.com/anxiety/how-to-halt-and-minimize-panic-attacks?utm_source=ReadNext) - [What Does Psychosis Feel and Look Like?](https://www.psychcentral.com/lib/what-does-psychosis-feel-like?utm_source=ReadNext) - [Podcast: Does ā€˜Therapy Speak’ Hurt Relationships?](https://www.psychcentral.com/blog/podcast-does-therapy-speak-hurt-relationships?utm_source=ReadNext) - [Podcast: Rethinking Narcissism: What Social Media Gets Wrong with Kati Morton](https://www.psychcentral.com/blog/podcast-rethinking-narcissism-what-social-media-gets-wrong-with-kati-morton?utm_source=ReadNext) ### Read this next - [4 Steps to Help Someone Having a Panic Attack](https://www.psychcentral.com/anxiety/how-to-help-someone-having-a-panic-attack?utm_source=ReadNext) Medically reviewed by [Ashleigh Golden, PsyD](https://www.psychcentral.com/medical-team) [By responding with understanding and empathy, you can make a true difference to someone having a panic attack. Learn how to help here.](https://www.psychcentral.com/anxiety/how-to-help-someone-having-a-panic-attack?utm_source=ReadNext) [READ MORE](https://www.psychcentral.com/anxiety/how-to-help-someone-having-a-panic-attack?utm_source=ReadNext) - [How to Get Through a Panic Attack](https://www.psychcentral.com/anxiety/how-to-halt-and-minimize-panic-attacks?utm_source=ReadNext) Medically reviewed by [Nicole Washington, DO, MPH](https://www.psychcentral.com/medical-team) [Experiencing a panic attack can be scary. But there are techniques you can try to get through it.](https://www.psychcentral.com/anxiety/how-to-halt-and-minimize-panic-attacks?utm_source=ReadNext) [READ MORE](https://www.psychcentral.com/anxiety/how-to-halt-and-minimize-panic-attacks?utm_source=ReadNext) - [What Does Psychosis Feel and Look Like?](https://www.psychcentral.com/lib/what-does-psychosis-feel-like?utm_source=ReadNext) Medically reviewed by [Janet Brito, Ph.D., LCSW, CST-S](https://www.psychcentral.com/medical-team) [Psychosis is a symptom of many health conditions, including schizophrenia. Here's what psychosis may feel and look like.](https://www.psychcentral.com/lib/what-does-psychosis-feel-like?utm_source=ReadNext) [READ MORE](https://www.psychcentral.com/lib/what-does-psychosis-feel-like?utm_source=ReadNext) - [Podcast: Does ā€˜Therapy Speak’ Hurt Relationships?](https://www.psychcentral.com/blog/podcast-does-therapy-speak-hurt-relationships?utm_source=ReadNext) [How social media is turning people into armchair psychologists is discussed on the Inside Mental Health podcast. Listen Now\!](https://www.psychcentral.com/blog/podcast-does-therapy-speak-hurt-relationships?utm_source=ReadNext) [READ MORE](https://www.psychcentral.com/blog/podcast-does-therapy-speak-hurt-relationships?utm_source=ReadNext) - [Podcast: Rethinking Narcissism: What Social Media Gets Wrong with Kati Morton](https://www.psychcentral.com/blog/podcast-rethinking-narcissism-what-social-media-gets-wrong-with-kati-morton?utm_source=ReadNext) [Not your stereotypical narcissism discussion featuring a licensed therapist guest expert on this episode of the Inside Mental Health podcast. Listen…](https://www.psychcentral.com/blog/podcast-rethinking-narcissism-what-social-media-gets-wrong-with-kati-morton?utm_source=ReadNext) [READ MORE](https://www.psychcentral.com/blog/podcast-rethinking-narcissism-what-social-media-gets-wrong-with-kati-morton?utm_source=ReadNext) - [Podcast: New Year’s Resolutions Fail Because We Set Them Wrong](https://www.psychcentral.com/blog/podcast-new-years-resolutions-fail-because-we-set-them-wrong?utm_source=ReadNext) [Why your resolutions failed — and what you can do instead is explored on this episode of the Inside Mental Health podcast\!](https://www.psychcentral.com/blog/podcast-new-years-resolutions-fail-because-we-set-them-wrong?utm_source=ReadNext) [READ MORE](https://www.psychcentral.com/blog/podcast-new-years-resolutions-fail-because-we-set-them-wrong?utm_source=ReadNext) - [Podcast: Why Negative Self-Talk Feels True (And How to Stop Believing It)](https://www.psychcentral.com/blog/podcast-why-negative-self-talk-feels-true-and-how-to-stop-believing-it?utm_source=ReadNext) [Why ā€œjust think positiveā€ doesn’t stop negative self-talk is explored on this Inside Mental Health podcast episode. 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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. There’s 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 don’t 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 aren’t there or believing things that don’t 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, it’s 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 doesn’t know why the attack occurred. When there’s a known cause, it’s 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 isn’t real. - delusions (false beliefs) - hallucinations (seeing or hearing things that don’t 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 - Alzheimer’s 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 it’s 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 it’s 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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