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URLhttps://www.healthline.com/health/how-to-stop-a-panic-attack
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Meta TitlePanic Attacks: What They Are, How to Stop, and More
Meta DescriptionPanic attacks are sudden, intense surges of fear, panic, or anxiety. They can be frightening but there are ways of coping. Here are 11 ways to stop a panic attack.
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Panic attacks are sudden, intense surges of fear, panic, or anxiety. They are overwhelming, and they have physical as well as emotional symptoms. If you have a panic attack, you might have difficulty breathing, sweat profusely, tremble, and you may feel your heart pounding. Some people will also experience chest pain and a feeling of detachment from reality or themselves during a panic attack, so they may think they’re having a heart attack. Others have reported feeling like they’re having a stroke. They tend to start without warning, and symptoms reach a peak within minutes. Panic attacks can be scary and may hit you quickly. Here are 12 strategies you can use to try to stop or manage panic attacks. Some may help you in the moment, while others can help in the longer term. Cognitive-behavioral therapy (CBT) and other types of counseling can often help people who have panic attacks and who have panic disorders. CBT aims to help you change the way you see challenging or frightening situations and to help you find new ways to approach these challenges as they arise. As well as changing behavior, there’s some evidence that CBT might affect structures in your brain that are responsible for panic symptoms. 2018 research found evidence that people who attended four weekly sessions of exposure-based CBT experienced changes in the neural pathways involved in panic symptoms. However, this was an early study, and more research is needed. That said, CBT is not the only therapy modality that might help with anxiety, and it may not be the method that works best for you. Benzodiazepines , such as alprazolam (Xanax), can help treat the symptoms of panic when they occur. However, they won’t help treat an underlying anxiety disorder and can quickly lead to dependence. For this reason, doctors only recommend them for short-term use during a crisis. Because benzodiazepines are a prescription medication, you’ll likely need a panic disorder diagnosis to have the medication on hand. In some cases, a doctor may prescribe anti-depressants for long-term use. Some anti-seizure medications, such as pregabalin or clonazepam, can also help treat anxiety. While hyperventilating is a symptom of panic attacks that can increase fear, deep breathing can reduce symptoms of panic during an attack. In one study , published in 2017, 40 people joined either a therapy group that involved deep or diaphragmatic breathing or a control group. After 20 intensive training sessions, those who practiced deep breathing saw improvements in their attention levels and emotional well-being. Another 2018 review found that slow breathing could have similar effects. Try to focus on taking a deep breath through your nose, feeling the air slowly fill your chest and belly. Then slowly exhale through your mouth and feel the air leave your body. Breathe in through your nose for a count of 4, hold for 1 second, and then breathe out through your nose for a count of 4: By recognizing that you’re having a panic attack instead of a heart attack, you can remind yourself that this is temporary, it will pass, and that you’re OK. Try to set aside the fear that you may be dying or that impending doom is looming, both fears are only symptoms of panic attacks. This can allow you to focus on other techniques to reduce your symptoms. Some panic attacks come from triggers that overwhelm you. If you’re in a fast-paced environment with a lot of stimuli, this can feed your panic attack. To reduce the stimuli, close your eyes during your panic attack. This can block out any extra stimuli and make it easier to focus on your breathing. Mindfulness can help ground you in the reality of what’s around you. Since panic attacks can cause a feeling of detachment or separation from reality, this can combat your panic attack as it’s approaching or actually happening. Mindfulness involves: focusing your attention on the present recognizing the emotional state you’re in meditating to reduce stress and help you relax American Family Physician recommends mindfulness as a strategy for dealing with panic and anxiety, saying it can be as helpful for reducing stress as CBT and other behavioral therapies. Some people find it helpful to find something to focus all their attention on during a panic attack. Pick one object in clear sight and consciously note everything you can about it. For example, you may notice how the hand on the clock jerks when it ticks and that it’s slightly lopsided. Describe the patterns, color, shapes, and size of the object to yourself. Focus all your energy on this object, and your panic symptoms may subside. Muscle tension is a symptom of anxiety and muscle relaxation techniques can help reduce tension and promote relaxation during an attack. Progressive muscle relaxation aims to release tension in one group of muscles at a time to relax the whole body. Much like deep breathing, muscle relaxation techniques can help stop your panic attack in its tracks by controlling your body’s response as much as possible. Guided imagery techniques can help reduce stress and anxiety. Research suggests that both spending time in nature and visualizing nature can help treat and manage anxiety. The place you visualize should be quiet, calm, and relaxing — no streets of New York or Hong Kong, no matter how much you love the cities in real life. Research published in 2021 shows that regular exercise may not only keep the body healthy but reduce your chance of developing anxiety. If you’re not used to exercising, talk with a doctor before starting. There’s some evidence that starting aerobic exercise anew can trigger additional anxiety in people with an anxiety disorder. Building up gradually can help your body adjust and avoid breathing problems. If you feel stressed or you’re hyperventilating or struggling to breathe, stop and take a rest or choose a more moderate option, such as walking , swimming, or yoga. Lavender is a traditional remedy that many people use to reduce stress and help them relax. Older studies suggest lavender has a calming effect but doesn’t lead to dependence or cause withdrawal symptoms. Using products that contain diluted lavender essential oil may help reduce or manage symptoms of anxiety. While research suggests there are health benefits, the FDA doesn’t monitor or regulate the purity or quality of essential oils. It’s important to talk with a healthcare professional before you begin using essential oils and be sure to research the quality of a brand’s products. Always do a patch test before trying a new essential oil. Repeating a mantra internally can be relaxing and reassuring, and it can give you something to grasp onto during a panic attack. Whether it’s simply “This too shall pass,” or a mantra that speaks to you personally, repeat it on a loop in your head until you feel the panic attack start to subside. Letting a friend, loved one, or even a colleague know that you’re having a panic attack might help you feel less alone and more in control of your emotions. Any trustworthy person in your vicinity can help calm you. It might be helpful to share ahead of time that you’re prone to panic attacks so they know what to expect. Even when in public, you can still flag down a person who might be able to assist you by taking you somewhere where there’s less stimulation and staying with you as you calm down. What are the 3 symptoms of a panic attack? If you have a panic attack, you might experience symptoms such as heart palpitations, sweating , or difficulty breathing. What causes panic attacks? Panic attacks can happen for various reasons, and sometimes they happen for no apparent reason. A panic attack often happens when you’re exposed to a trigger, but triggers vary widely between people. In some cases, there may be no clear trigger. Can you prevent a panic attack? It’s not always possible to prevent a panic attack, but certain strategies may help. Avoiding specific triggers may help prevent a panic attack, but this may not always be possible or appropriate. Some advice encourages people to “ride out” the attack and continue doing things, if possible. Many people experience panic attacks, in which they suddenly feel anxious and not in control of a situation, possibly without knowing why. You may feel breathless or as if you’re having a heart attack, and it can be very frightening. Panic attacks can occur unexpectedly and have a significant impact on your daily life, but there are ways to manage them. Treatment is also available for panic and anxiety disorders, which may be an underlying condition. If you have concerns about panic attacks, speak with your doctor. They can help you work out a suitable strategy to manage symptoms and reduce the impact. This may involve medications, such as antidepressants, alongside counseling.
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[Nervous Breakdown](https://www.healthline.com/health/mental-health/nervous-breakdown) - [ADHD](https://www.healthline.com/health/adhd-and-anxiety) - [Insomnia](https://www.healthline.com/health/anxiety-insomnia) - [Social Anxiety and Introversion](https://www.healthline.com/health/anxiety/introvert-vs-social-anxiety) - [Social Anxiety and Autism](https://www.healthline.com/health/autism/social-anxiety-vs-autism) - [GERD](https://www.healthline.com/health/gerd-and-anxiety) - [Depression](https://www.healthline.com/health/mental-health/depression-and-anxiety) - [Stress](https://www.healthline.com/health/stress-and-anxiety) - [Vs. Paranoia](https://www.healthline.com/health/paranoia-vs-anxiety) - [Panic Attack vs. Anxiety Attack](https://www.healthline.com/health/panic-attack-vs-anxiety-attack) - ### Symptoms Symptoms #### Related Articles - [Symptoms](https://www.healthline.com/health/anxiety-disorder-symptoms) - [Numb and Tingly](https://www.healthline.com/health/anxiety-numbness) - [Sore Throat](https://www.healthline.com/health/anxiety-sore-throat) - [Itching](https://www.healthline.com/health/anxiety/anxiety-and-itching) - [Sweating](https://www.healthline.com/health/diagnosing-hyperhidrosis/depression-and-anxiety) - [Dry Mouth](https://www.healthline.com/health/dry-mouth-anxiety) - [Loss of Appetite](https://www.healthline.com/health/mental-health/anxiety-lose-appetite) - [Headaches](https://www.healthline.com/health/headache/anxiety-headaches) - [Shaking](https://www.healthline.com/health/anxiety-shaking) - [Chest Pain](https://www.healthline.com/health/anxiety/anxiety-chest-pain) - [Nausea](https://www.healthline.com/health/anxiety/anxiety-nausea) - [Heart Palpitations](https://www.healthline.com/health/anxiety/can-anxiety-cause-heart-palpitations) - [Tiredness](https://www.healthline.com/health/anxiety/can-having-anxiety-make-you-feel-tired) - [Effects on the Body](https://www.healthline.com/health/anxiety/effects-on-body) - [Brain Fog](https://www.healthline.com/health/brain-fog-anxiety) - [Depersonalization](https://www.healthline.com/health/mental-health/coping-with-depersonalization) - [Physical Symptoms](https://www.healthline.com/health/physical-symptoms-of-anxiety) - ### Treatment Treatment #### Related Hub [![Therapy](https://media.post.rvohealth.io/wp-content/uploads/2025/04/mental-well-being-navigating-therapy.png)Therapy Resources for finding and receiving therapy](https://www.healthline.com/mental-health/treatment) #### Related Articles - [Types of Doctors](https://www.healthline.com/health/anxiety-doctors) - [Medications](https://www.healthline.com/health/anxiety-drugs) - [Benadryl](https://www.healthline.com/health/anxiety/benadryl-for-anxiety) - [Ketamine Therapy](https://www.healthline.com/health/anxiety/ketamine-for-anxiety) - [Promethazine](https://www.healthline.com/health/anxiety/promethazine-for-anxiety) - [Prozac](https://www.healthline.com/health/anxiety/prozac-for-anxiety) - [Cognitive Behavioral Therapy (CBT)](https://www.healthline.com/health/anxiety/social-anxiety-disorder-cognitive-behavioral-therapy) - [Social Anxiety Treatment](https://www.healthline.com/health/anxiety/social-anxiety-treatment) - [Beta-Blockers](https://www.healthline.com/health/beta-blockers-for-anxiety) - [Trazodone](https://www.healthline.com/health/mental-health/trazodone-for-anxiety) - [How to Find a Therapist](https://www.healthline.com/health/how-to-find-a-therapist) - [How to Find Mental Health Services](https://www.healthline.com/health/mental-health/mental-health-services) - [Online Psychiatrist Platforms](https://www.healthline.com/health/mental-health/online-psychiatrist) - [Low Cost and Free Online Therapy](https://www.healthline.com/health/mental-health/online-therapist-for-free) - [Online Therapy with Insurance](https://www.healthline.com/health/mental-health/online-therapy-that-takes-insurance) - [Talk Therapy](https://www.healthline.com/health/mental-health/talk-therapy) - [Online Therapy Services](https://www.healthline.com/health/our-top-10-online-therapy-picks) - [Affordable Online Therapy](https://www.healthline.com/health/therapy-for-every-budget) - ### Types Types #### Related Articles - [Generalized Anxiety](https://www.healthline.com/health/anxiety/generalized-anxiety-disorder) - [Social Anxiety](https://www.healthline.com/health/anxiety/social-phobia) - [Anticipatory Anxiety](https://www.healthline.com/health/anticipatory-anxiety) - [Money Anxiety](https://www.healthline.com/health/anxiety/money-anxiety) - [Subconscious Anxiety](https://www.healthline.com/health/anxiety/subconscious-anxiety) - [Travel Anxiety](https://www.healthline.com/health/anxiety/travel-anxiety) - [Workplace Anxiety](https://www.healthline.com/health/anxiety/workplace-anxiety) - [Food Anxiety](https://www.healthline.com/health/eating-disorders/anxiety-about-food) - [Gym Anxiety](https://www.healthline.com/health/fitness/gym-anxiety) - [Hypochondria](https://www.healthline.com/health/health-anxiety) - [Time Anxiety](https://www.healthline.com/health/mental-health/time-anxiety) - [In the Morning](https://www.healthline.com/health/morning-anxiety) - [School Anxiety](https://www.healthline.com/health/school-anxiety) - [Separation Anxiety in Adults](https://www.healthline.com/health/separation-anxiety-in-adults) - [Sports Anxiety](https://www.healthline.com/health/sports-performance-anxiety) # 13 Ways to Stop a Panic Attack ![](https://i0.wp.com/post.healthline.com/wp-content/uploads/2022/01/Francis-Kuehnle-500x500-Bio.png?w=105&h=105) [Medically reviewed]() by [Francis Kuehnle, MSN, RN-BC]() — Written by Ana Gotter — [Updated on October 16, 2023]() - [What it is](https://www.healthline.com/health/how-to-stop-a-panic-attack#what-it-is) - [Medications](https://www.healthline.com/health/how-to-stop-a-panic-attack#medications) - [Deep breathing](https://www.healthline.com/health/how-to-stop-a-panic-attack#deep-breathing) - [Recognize symptoms](https://www.healthline.com/health/how-to-stop-a-panic-attack#recognize-symptoms) - [Close eyes](https://www.healthline.com/health/how-to-stop-a-panic-attack#close-eyes) - [Mindfulness](https://www.healthline.com/health/how-to-stop-a-panic-attack#mindfulness) - [Focus object](https://www.healthline.com/health/how-to-stop-a-panic-attack#focus-object) - [Muscle relaxation](https://www.healthline.com/health/how-to-stop-a-panic-attack#muscle-relaxation) - [Picture happy place](https://www.healthline.com/health/how-to-stop-a-panic-attack#picture-happy-place) - [Exercise](https://www.healthline.com/health/how-to-stop-a-panic-attack#exercise) - [Lavender](https://www.healthline.com/health/how-to-stop-a-panic-attack#lavender) - [Mantra](https://www.healthline.com/health/how-to-stop-a-panic-attack#mantra) - [Tell someone](https://www.healthline.com/health/how-to-stop-a-panic-attack#tell-someone) - [FAQ](https://www.healthline.com/health/how-to-stop-a-panic-attack#faq) - [Summary](https://www.healthline.com/health/how-to-stop-a-panic-attack#summary) ### Key takeaways - Panic attacks manifest as sudden episodes of intense fear accompanied by physical and emotional symptoms, including difficulty breathing, sweating, trembling, and a sense of detachment. - Various strategies can help manage panic attack symptoms, such as deep breathing exercises, mindfulness techniques, focusing on a specific object, and muscle relaxation exercises. - Long-term prevention and management strategies include seeking counseling, particularly cognitive behavioral therapy (CBT), and, in some cases, using medication as prescribed by a doctor. ## [What do panic attacks feel like?]() [Panic attacks](https://www.healthline.com/health/panic-attack) are sudden, intense surges of fear, panic, or anxiety. They are overwhelming, and they have physical as well as emotional symptoms. If you have a panic attack, you might have difficulty breathing, sweat profusely, tremble, and you may feel your heart pounding. Some people will also experience chest pain and a feeling of detachment from reality or themselves during a panic attack, so they may think they’re having a heart attack. Others have reported feeling like they’re having a stroke. The [Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition (DSM-5)](https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425596) defines a panic attack as “an abrupt surge of intense fear or discomfort.” They tend to start without warning, and symptoms reach a peak within minutes. Panic attacks can be scary and may hit you quickly. Here are 12 strategies you can use to try to stop or manage panic attacks. Some may help you in the moment, while others can help in the longer term. ## [1\. Seek counseling]() [Cognitive-behavioral therapy (CBT)](https://www.healthline.com/health/cognitive-behavioral-therapy) and other types of counseling can often help people who have panic attacks and who have panic disorders. CBT aims to help you change the way you see challenging or frightening situations and to help you find new ways to approach these challenges as they arise. As well as changing behavior, there’s some evidence that CBT might affect structures in your brain that are responsible for panic symptoms. [2018 research](https://www.nature.com/articles/s41398-018-0277-5) found evidence that people who attended four weekly sessions of exposure-based CBT experienced changes in the neural pathways involved in panic symptoms. However, this was an early study, and more research is needed. Another [2018 meta-analysis of 41 studies](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992015/) found that CBT is moderately effective in treating anxiety disorders. That said, CBT is not the only therapy modality that might help with anxiety, and it may not be the method that works best for you. Learn about [7 types of therapy for anxiety](https://www.healthline.com/health/anxiety/psychotherapy-for-anxiety) and the evidence behind them. ## [2\. Take medications]() [Benzodiazepines](https://www.healthline.com/health/bipolar-disorder/benzodiazepines), such as alprazolam (Xanax), can help treat the symptoms of panic when they occur. However, they won’t help treat an underlying anxiety disorder and [can quickly lead](https://www.aafp.org/pubs/afp/issues/2022/0800/generalized-anxiety-disorder-panic-disorder.html) to dependence. For this reason, doctors only recommend them for short-term use during a crisis. Because benzodiazepines are a prescription medication, you’ll likely need a [panic disorder](https://www.healthline.com/health/panic-disorder) diagnosis to have the medication on hand. In some cases, a doctor may prescribe anti-depressants for long-term use. Some anti-seizure medications, such as pregabalin or clonazepam, can also help treat anxiety. ### Boxed warning *Xanax* *has a [boxed warning](https://www.ncbi.nlm.nih.gov/books/NBK538521/) from the Food and Drug Administration (FDA) for physical dependence and withdrawal if you stop taking the drug suddenly. It can also lead to misuse and addiction.* *Misuse of benzodiazepines increases your risk of overdose and death*. *Only take benzodiazepines as your doctor prescribes. Talk with your healthcare professional if you have any concerns about their safety.* *A boxed warning is the strongest warning the FDA requires. It alerts doctors and patients about drug effects that may be dangerous.* Learn about [drugs that can treat anxiety disorder](https://www.healthline.com/health/anxiety-drugs). ## [3\. Use deep breathing]() While [hyperventilating](https://www.healthline.com/health/hyperventilation) is a symptom of panic attacks that can increase fear, deep breathing can reduce symptoms of panic during an attack. In one [study](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5455070/), published in 2017, 40 people joined either a therapy group that involved deep or diaphragmatic breathing or a control group. After 20 intensive training sessions, those who practiced deep breathing saw improvements in their attention levels and emotional well-being. Another [2018 review](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137615/) found that slow breathing could have similar effects. Try to focus on taking a deep breath through your nose, feeling the air slowly fill your chest and belly. Then slowly exhale through your mouth and feel the air leave your body. Breathe in through your nose for a count of 4, hold for 1 second, and then breathe out through your nose for a count of 4: [Share on Pinterest](https://www.pinterest.com/pin/create/button/?url=https%3A%2F%2Fwww.healthline.com%2Fhealth%2Fhow-to-stop-a-panic-attack&media=https%3A%2F%2Fmedia.post.rvohealth.io%2Fwp-content%2Fuploads%2F2023%2F02%2Fdiaphragmatic-breathing-breath-in-and-out.gif&description=Panic%20Attacks%3A%20What%20They%20Are%2C%20How%20to%20Stop%2C%20and%20More "Share on Pinterest") Learn about [diaphragmatic breathing and how to do it.](https://www.healthline.com/health/diaphragmatic-breathing) ## [4\. Recognize that you’re having a panic attack]() By recognizing that you’re having a panic attack instead of a heart attack, you can remind yourself that this is temporary, it will pass, and that you’re OK. Try to set aside the fear that you may be dying or that impending doom is looming, both fears are only symptoms of panic attacks. This can allow you to focus on other techniques to reduce your symptoms. ## [5\. Close your eyes]() Some panic attacks come from triggers that overwhelm you. If you’re in a fast-paced environment with a lot of stimuli, this can feed your panic attack. To reduce the stimuli, [close your eyes](https://www.nhsinform.scot/healthy-living/mental-wellbeing/anxiety-and-panic/how-to-deal-with-panic-attacks) during your panic attack. This can block out any extra stimuli and make it easier to focus on your breathing. ## [6\. Practice mindfulness]() Mindfulness can help ground you in the reality of what’s around you. Since panic attacks can cause a feeling of detachment or separation from reality, this can combat your panic attack as it’s approaching or actually happening. Mindfulness involves: - focusing your attention on the present - recognizing the emotional state you’re in - meditating to reduce stress and help you relax [American Family Physician](https://www.aafp.org/pubs/afp/issues/2022/0800/generalized-anxiety-disorder-panic-disorder.html) recommends mindfulness as a strategy for dealing with panic and anxiety, saying it can be as helpful for reducing stress as CBT and other behavioral therapies. Learn more about [how to practice mindfulness](https://www.healthline.com/health/mindfulness-tricks-to-reduce-anxiety). ### Online meditation options Read our review of the [best online meditation options](https://www.healthline.com/health/meditation-online) to help find the right fit for you. ## [7\. Find a focus object]() Some people find it helpful to find something to [focus all their attention](https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/panic-attack) on during a panic attack. Pick one object in clear sight and consciously note everything you can about it. For example, you may notice how the hand on the clock jerks when it ticks and that it’s slightly lopsided. Describe the patterns, color, shapes, and size of the object to yourself. Focus all your energy on this object, and your panic symptoms may subside. ## [8\. Use muscle relaxation techniques]() Muscle tension is a symptom of anxiety and muscle relaxation techniques can help reduce tension and promote relaxation during an attack. Progressive muscle relaxation aims to release tension in one group of muscles at a time to relax the whole body. Much like deep breathing, muscle relaxation techniques can help stop your panic attack in its tracks by controlling your body’s response as much as possible. Learn more about the [benefits of progressive muscle relaxation and how to do it](https://www.healthline.com/health/progressive-muscle-relaxation). ## [9\. Picture your happy place]() [Guided imagery techniques](https://www.healthline.com/health/guided-imagery) can help reduce stress and anxiety. [Research](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176042/) suggests that both spending time in nature and visualizing nature can help treat and manage anxiety. The place you visualize should be quiet, calm, and relaxing — no streets of New York or Hong Kong, no matter how much you love the cities in real life. Learn about [five visualization techniques that can help you meditate.](https://www.healthline.com/health/visualization-meditation) ## [10\. Engage in light exercise]() [Research](https://www.frontiersin.org/articles/10.3389/fpsyt.2021.714014/full) published in 2021 shows that regular exercise may not only keep the body healthy but reduce your chance of developing anxiety. If you’re not used to exercising, talk with a doctor before starting. There’s some [evidence](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5827302/) that starting aerobic exercise anew can trigger additional anxiety in people with an anxiety disorder. Building up gradually can help your body adjust and avoid breathing problems. If you feel stressed or you’re [hyperventilating](https://www.healthline.com/health/hyperventilation) or struggling to breathe, stop and take a rest or choose a more moderate option, such as [walking](https://www.healthline.com/health-news/biking-or-walking-to-work-improves-health), swimming, or yoga. ## [11\. Keep lavender on hand]() Lavender is a traditional remedy that many people use to reduce stress and help them relax. [Older studies](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6007527/) suggest lavender has a calming effect but doesn’t lead to dependence or cause withdrawal symptoms. Using products that contain diluted lavender essential oil may help reduce or manage symptoms of anxiety. Learn [how to use lavender safely](https://www.healthline.com/health/what-lavender-can-do-for-you#safety). While research suggests there are health benefits, the FDA doesn’t monitor or regulate the purity or quality of essential oils. It’s important to talk with a healthcare professional before you begin using essential oils and be sure to research the [quality](https://greatist.com/health/best-essential-oils-how-to-buy-essential-oils) of a brand’s products. Always do a [patch test](https://www.healthline.com/health/self-skin-patch-test) before trying a new essential oil. ## [12\. Repeat a mantra internally]() Repeating a mantra internally can be relaxing and reassuring, and it can give you something to grasp onto during a panic attack. Whether it’s simply “This too shall pass,” or a mantra that speaks to you personally, repeat it on a loop in your head until you feel the panic attack start to subside. **»MORE:**[Best Affordable Therapy Options of 2026: Tried and Tested](https://www.healthline.com/health/therapy-for-every-budget) ## [13\. Talk with someone]() Letting a friend, loved one, or even a colleague know that you’re having a panic attack might help you feel less alone and more in control of your emotions. Any trustworthy person in your vicinity can help calm you. It might be helpful to share ahead of time that you’re prone to panic attacks so they know what to expect. Even when in public, you can still flag down a person who might be able to assist you by taking you somewhere where there’s less stimulation and staying with you as you calm down. ## [Frequently asked questions]() ### What are the 3 symptoms of a panic attack? If you have a panic attack, you [might experience](https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/panic-attack) symptoms such as heart palpitations, [sweating](https://www.healthline.com/health/sweating), or difficulty breathing. ### What causes panic attacks? Panic attacks [can happen](https://www.ncbi.nlm.nih.gov/books/NBK430973/) for various reasons, and sometimes they happen for no apparent reason. A panic attack often happens when you’re exposed to a trigger, but triggers vary widely between people. In some cases, there may be no clear trigger. Learn more about [the causes and triggers of panic attacks.](https://www.healthline.com/health/anxiety/anxiety-triggers) ### Can you prevent a panic attack? It’s not always possible to prevent a panic attack, but certain [strategies](https://www.nhsinform.scot/healthy-living/mental-wellbeing/anxiety-and-panic/how-to-deal-with-panic-attacks) may help. Avoiding specific triggers may help prevent a panic attack, but this may not always be possible or appropriate. Some advice encourages people to “ride out” the attack and continue doing things, if possible. ## [Summary]() Many people experience panic attacks, in which they suddenly feel anxious and not in control of a situation, possibly without knowing why. You may feel breathless or as if you’re having a heart attack, and it can be very frightening. Panic attacks can occur unexpectedly and have a significant impact on your daily life, but there are ways to manage them. Treatment is also available for panic and anxiety disorders, which may be an underlying condition. If you have concerns about panic attacks, speak with your doctor. They can help you work out a suitable strategy to manage symptoms and reduce the impact. This may involve medications, such as antidepressants, alongside counseling. [Read this article in Spanish.](https://www.healthline.com/health/es/como-controlar-un-ataque-de-panico) ### How we reviewed this article: Sources History Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our [editorial policy](https://www.healthline.com/about/process). - Cachovic C, et al. (2021). Panic disorder. <https://www.ncbi.nlm.nih.gov/books/NBK430973/> - Carpenter JK, et al. (2019). Cognitive behavioral therapy for anxiety and related disorders: a meta-analysis of randomized placebo-controlled trials. <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992015/> - Degeorge KC, et al. (2022). Generalized anxiety disorder and panic disorder in adults. <https://www.aafp.org/pubs/afp/issues/2022/0800/generalized-anxiety-disorder-panic-disorder.html> - Diagnostic and statistical manual of mental disorders, fifth edition. (n.d.). <https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425596> - FDA requiring boxed warning updated to improve safe use of benzodiazepine drug class. (2020). <https://www.fda.gov/drugs/drug-safety-and-availability/fda-requiring-boxed-warning-updated-improve-safe-use-benzodiazepine-drug-class> - How to deal with panic attacks. (2021). <https://www.nhsinform.scot/healthy-living/mental-wellbeing/anxiety-and-panic/how-to-deal-with-panic-attacks> - Lattari E, et al. (2018). Effects of aerobic exercise on anxiety symptoms and cortical activity in patients with panic disorder: A pilot study. <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5827302/> - Ma X, et al. (2017). The effect of diaphragmatic breathing on attention, negative \[effect\] and stress in healthy adults. <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5455070/> - Malcolm BJ, et al. (2017). Essential oil of lavender in anxiety disorders: Ready for prime time? <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6007527/> - Nguyen J, et al. (2018). Nature-based guided imagery as an intervention for state anxiety. <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176042/> - Panic attack. (2022). <https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/panic-attack> - Panic disorder: When fear overwhelms. (2016). <https://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms/index.shtml> - Panic disorder. (2021). <https://adaa.org/understanding-anxiety/panic-disorder> - Reinecke A, et al. (2018). Early effects of exposure-based cognitive behaviour therapy on the neural correlates of anxiety. <https://www.nature.com/articles/s41398-018-0277-5> - Svensson N, et al. (2021). Physical activity is associated with lower long-term incidence of anxiety in a population-based, large-scale study. <https://www.frontiersin.org/articles/10.3389/fpsyt.2021.714014/full> - Zaccaro A, et al. (2018). How breath-control can change your life: A systematic review on psycho-physiological correlates of slow breathing. <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137615/> Share this article ![](https://i0.wp.com/post.healthline.com/wp-content/uploads/2022/01/Francis-Kuehnle-500x500-Bio.png?w=105&h=105) [Medically reviewed]() by [Francis Kuehnle, MSN, RN-BC]() — Written by Ana Gotter — [Updated on October 16, 2023]() ## related stories - [Panic Attack](https://www.healthline.com/health/panic-attack?utm_source=ReadNext) - [7 Steps for Getting Through a Panic Attack](https://www.healthline.com/health/anxiety/panic-attack-self-care-strategies?utm_source=ReadNext) - [A Guide to Panic Attacks and Panic Disorder](https://www.healthline.com/health/panic-disorder?utm_source=ReadNext) - [Treating Panic Attack Disorder](https://www.healthline.com/health/panic-attack-medication?utm_source=ReadNext) - ['Quad God' Ilia Malinin on the 'Invisible Battles' That Cost Him a Medal](https://www.healthline.com/health-news/figure-skater-ilia-malinin-performance-anxiety-winter-olympics?utm_source=ReadNext) ### Read this next - [Panic Attack](https://www.healthline.com/health/panic-attack?utm_source=ReadNext) Medically reviewed by [Timothy J. 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Readable Markdown
[Panic attacks](https://www.healthline.com/health/panic-attack) are sudden, intense surges of fear, panic, or anxiety. They are overwhelming, and they have physical as well as emotional symptoms. If you have a panic attack, you might have difficulty breathing, sweat profusely, tremble, and you may feel your heart pounding. Some people will also experience chest pain and a feeling of detachment from reality or themselves during a panic attack, so they may think they’re having a heart attack. Others have reported feeling like they’re having a stroke. They tend to start without warning, and symptoms reach a peak within minutes. Panic attacks can be scary and may hit you quickly. Here are 12 strategies you can use to try to stop or manage panic attacks. Some may help you in the moment, while others can help in the longer term. [Cognitive-behavioral therapy (CBT)](https://www.healthline.com/health/cognitive-behavioral-therapy) and other types of counseling can often help people who have panic attacks and who have panic disorders. CBT aims to help you change the way you see challenging or frightening situations and to help you find new ways to approach these challenges as they arise. As well as changing behavior, there’s some evidence that CBT might affect structures in your brain that are responsible for panic symptoms. [2018 research](https://www.nature.com/articles/s41398-018-0277-5) found evidence that people who attended four weekly sessions of exposure-based CBT experienced changes in the neural pathways involved in panic symptoms. However, this was an early study, and more research is needed. That said, CBT is not the only therapy modality that might help with anxiety, and it may not be the method that works best for you. [Benzodiazepines](https://www.healthline.com/health/bipolar-disorder/benzodiazepines), such as alprazolam (Xanax), can help treat the symptoms of panic when they occur. However, they won’t help treat an underlying anxiety disorder and [can quickly lead](https://www.aafp.org/pubs/afp/issues/2022/0800/generalized-anxiety-disorder-panic-disorder.html) to dependence. For this reason, doctors only recommend them for short-term use during a crisis. Because benzodiazepines are a prescription medication, you’ll likely need a [panic disorder](https://www.healthline.com/health/panic-disorder) diagnosis to have the medication on hand. In some cases, a doctor may prescribe anti-depressants for long-term use. Some anti-seizure medications, such as pregabalin or clonazepam, can also help treat anxiety. While [hyperventilating](https://www.healthline.com/health/hyperventilation) is a symptom of panic attacks that can increase fear, deep breathing can reduce symptoms of panic during an attack. In one [study](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5455070/), published in 2017, 40 people joined either a therapy group that involved deep or diaphragmatic breathing or a control group. After 20 intensive training sessions, those who practiced deep breathing saw improvements in their attention levels and emotional well-being. Another [2018 review](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137615/) found that slow breathing could have similar effects. Try to focus on taking a deep breath through your nose, feeling the air slowly fill your chest and belly. Then slowly exhale through your mouth and feel the air leave your body. Breathe in through your nose for a count of 4, hold for 1 second, and then breathe out through your nose for a count of 4: By recognizing that you’re having a panic attack instead of a heart attack, you can remind yourself that this is temporary, it will pass, and that you’re OK. Try to set aside the fear that you may be dying or that impending doom is looming, both fears are only symptoms of panic attacks. This can allow you to focus on other techniques to reduce your symptoms. Some panic attacks come from triggers that overwhelm you. If you’re in a fast-paced environment with a lot of stimuli, this can feed your panic attack. To reduce the stimuli, [close your eyes](https://www.nhsinform.scot/healthy-living/mental-wellbeing/anxiety-and-panic/how-to-deal-with-panic-attacks) during your panic attack. This can block out any extra stimuli and make it easier to focus on your breathing. Mindfulness can help ground you in the reality of what’s around you. Since panic attacks can cause a feeling of detachment or separation from reality, this can combat your panic attack as it’s approaching or actually happening. Mindfulness involves: - focusing your attention on the present - recognizing the emotional state you’re in - meditating to reduce stress and help you relax [American Family Physician](https://www.aafp.org/pubs/afp/issues/2022/0800/generalized-anxiety-disorder-panic-disorder.html) recommends mindfulness as a strategy for dealing with panic and anxiety, saying it can be as helpful for reducing stress as CBT and other behavioral therapies. Some people find it helpful to find something to [focus all their attention](https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/panic-attack) on during a panic attack. Pick one object in clear sight and consciously note everything you can about it. For example, you may notice how the hand on the clock jerks when it ticks and that it’s slightly lopsided. Describe the patterns, color, shapes, and size of the object to yourself. Focus all your energy on this object, and your panic symptoms may subside. Muscle tension is a symptom of anxiety and muscle relaxation techniques can help reduce tension and promote relaxation during an attack. Progressive muscle relaxation aims to release tension in one group of muscles at a time to relax the whole body. Much like deep breathing, muscle relaxation techniques can help stop your panic attack in its tracks by controlling your body’s response as much as possible. [Guided imagery techniques](https://www.healthline.com/health/guided-imagery) can help reduce stress and anxiety. [Research](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176042/) suggests that both spending time in nature and visualizing nature can help treat and manage anxiety. The place you visualize should be quiet, calm, and relaxing — no streets of New York or Hong Kong, no matter how much you love the cities in real life. [Research](https://www.frontiersin.org/articles/10.3389/fpsyt.2021.714014/full) published in 2021 shows that regular exercise may not only keep the body healthy but reduce your chance of developing anxiety. If you’re not used to exercising, talk with a doctor before starting. There’s some [evidence](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5827302/) that starting aerobic exercise anew can trigger additional anxiety in people with an anxiety disorder. Building up gradually can help your body adjust and avoid breathing problems. If you feel stressed or you’re [hyperventilating](https://www.healthline.com/health/hyperventilation) or struggling to breathe, stop and take a rest or choose a more moderate option, such as [walking](https://www.healthline.com/health-news/biking-or-walking-to-work-improves-health), swimming, or yoga. Lavender is a traditional remedy that many people use to reduce stress and help them relax. [Older studies](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6007527/) suggest lavender has a calming effect but doesn’t lead to dependence or cause withdrawal symptoms. Using products that contain diluted lavender essential oil may help reduce or manage symptoms of anxiety. While research suggests there are health benefits, the FDA doesn’t monitor or regulate the purity or quality of essential oils. It’s important to talk with a healthcare professional before you begin using essential oils and be sure to research the [quality](https://greatist.com/health/best-essential-oils-how-to-buy-essential-oils) of a brand’s products. Always do a [patch test](https://www.healthline.com/health/self-skin-patch-test) before trying a new essential oil. Repeating a mantra internally can be relaxing and reassuring, and it can give you something to grasp onto during a panic attack. Whether it’s simply “This too shall pass,” or a mantra that speaks to you personally, repeat it on a loop in your head until you feel the panic attack start to subside. Letting a friend, loved one, or even a colleague know that you’re having a panic attack might help you feel less alone and more in control of your emotions. Any trustworthy person in your vicinity can help calm you. It might be helpful to share ahead of time that you’re prone to panic attacks so they know what to expect. Even when in public, you can still flag down a person who might be able to assist you by taking you somewhere where there’s less stimulation and staying with you as you calm down. What are the 3 symptoms of a panic attack? If you have a panic attack, you [might experience](https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/panic-attack) symptoms such as heart palpitations, [sweating](https://www.healthline.com/health/sweating), or difficulty breathing. What causes panic attacks? Panic attacks [can happen](https://www.ncbi.nlm.nih.gov/books/NBK430973/) for various reasons, and sometimes they happen for no apparent reason. A panic attack often happens when you’re exposed to a trigger, but triggers vary widely between people. In some cases, there may be no clear trigger. Can you prevent a panic attack? It’s not always possible to prevent a panic attack, but certain [strategies](https://www.nhsinform.scot/healthy-living/mental-wellbeing/anxiety-and-panic/how-to-deal-with-panic-attacks) may help. Avoiding specific triggers may help prevent a panic attack, but this may not always be possible or appropriate. Some advice encourages people to “ride out” the attack and continue doing things, if possible. Many people experience panic attacks, in which they suddenly feel anxious and not in control of a situation, possibly without knowing why. You may feel breathless or as if you’re having a heart attack, and it can be very frightening. Panic attacks can occur unexpectedly and have a significant impact on your daily life, but there are ways to manage them. Treatment is also available for panic and anxiety disorders, which may be an underlying condition. If you have concerns about panic attacks, speak with your doctor. They can help you work out a suitable strategy to manage symptoms and reduce the impact. This may involve medications, such as antidepressants, alongside counseling.
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