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| Meta Title | Panic Attack vs. Anxiety Attack: What’s the Difference? |
| Meta Description | Do you know the difference between a panic attack and an anxiety attack? We explain the symptoms and how to treat these conditions. |
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| Boilerpipe Text | Panic attacks are common in people with panic disorder, but anyone may experience one during their lifetime.
The Diagnostic and Statistical Manual of Mental Disorders, 5th edition, text revision (DSM-5-TR) doesn’t include anxiety attacks as a stand-alone diagnosis. Instead, the reference manual lists
anxiety disorders
.
This
includes
the following conditions:
generalized anxiety disorder
panic disorder
separation anxiety disorder
agoraphobia
without a history of panic disorder
social anxiety disorder
specific phobia
Anxiety is an experience
usually related
to the anticipation or handling of a stressful situation, experience, or event. It may come on gradually or suddenly.
Symptoms of anxiety include:
worry
distress
fear
When these symptoms come on suddenly and intensely, a person may refer to them as an anxiety attack, when they may be describing a panic attack instead or an episode of severe anxiety.
Panic attacks
come on suddenly and involve intense and often overwhelming fear. They’re
accompanied
by very challenging physical symptoms like a racing heartbeat, shortness of breath, or nausea.
The DSM-5-TR recognizes panic attacks and categorizes them as unexpected or expected.
Unexpected panic attacks can occur without an obvious cause. Expected panic attacks are cued by external stressors, such as
phobias
.
Panic attacks can happen to anyone, but having more than one may be a sign of
panic disorder
, a mental health condition characterized by sudden and repeated panic attacks.
Because anxiety attacks aren’t a formal condition or experience, there are no specific diagnostic criteria or symptoms for it.
A panic attack can cause physical and emotional symptoms, including:
apprehension and worry
intense distress
fear of dying or losing control
a sense of detachment from the world (derealization) or oneself (depersonalization)
heart palpitations or an accelerated heart rate
chest pain
shortness of breath
tightness in the throat or feeling like you’re choking
dry mouth
sweating
chills or hot flashes
trembling or shaking
numbness or tingling (paresthesia)
nausea, abdominal pain, or upset stomach
headache
feeling faint or dizzy
It may be difficult to know when you’re having a panic attack. Keep in mind the following:
The cause:
Anxiety is typically related to something that’s perceived as stressful or threatening. Panic attacks aren’t always cued by stressors. They
most often
occur out of the blue.
The level of distress:
While anxiety can be mild, moderate, or severe, panic attacks are intense experiences. For example, you may be unable to move or react when having a panic attack.
Fight-or-flight response:
During a panic attack, the body’s autonomous fight-or-flight response takes over. Physical symptoms are often more intense than when you’re feeling anxious in general.
Speed of onset:
Panic attacks usually occur abruptly and may last a few minutes or hours.
Effect:
Panic attacks may trigger intense worries or fears related to having another attack. This may have an effect on your behavior, leading you to avoid places or situations where you think you might be at risk of a panic attack.
Everyone’s different and may feel anxious about a variety of situations. You may feel anxious about a first date, job interview, or coming up with solutions to an unexpected personal problem. This anxiety may be mild to severe, depending on your emotional resources and support.
Panic attacks may occur for expected or unexpected reasons.
Unexpected panic attacks have no clear external triggers. For example, you may be taking a nap and wake up with a panic attack.
Expected panic attacks happen when you face a known trigger. For example, if you’re afraid of flying, you could have a panic attack before boarding your flight.
Other sources and causes of mild to severe anxiety, including panic attacks, may
include
:
a stressful job
driving
social situations
phobias like agoraphobia (fear of crowded or open spaces),
claustrophobia
(fear of small spaces), and
acrophobia
(fear of heights)
reminders or memories of traumatic experiences
chronic illnesses like
heart disease
,
diabetes
,
irritable bowel syndrome
, or
asthma
chronic pain
alcohol
or drug withdrawal
caffeine
medication and supplements
thyroid problems
Anxiety, in general, may be more likely when you have a few risk factors,
including
:
experiencing trauma or witnessing traumatic events, either as a child or as an adult
experiencing a stressful life event, such as the death of a loved one or a divorce
experiencing ongoing stress and worries, such as work responsibilities, conflict in your family, or financial woes
living with a chronic health condition or life threatening illness
having an anxious personality
having another mental health condition like depression
having close family members who also have anxiety or panic disorders
using illegal drugs or consuming alcohol
People who live with an anxiety disorder are at an increased risk of experiencing panic attacks. However, having anxiety does not mean you will experience a panic attack.
Because it’s not a formal condition, healthcare professionals will not diagnose anxiety attacks. Instead, if you have persistent anxiety or panic attacks, they may diagnose an anxiety disorder.
A doctor will ask you about your symptoms and conduct tests to rule out other health conditions with similar symptoms, such as heart disease or thyroid problems.
To get a diagnosis, a doctor may:
conduct a physical exam
order blood tests
order a heart test, like an
electrocardiogram (ECG or EKG)
recommend a psychological evaluation or questionnaire
Mental health professionals may prescribe different strategies, including psychotherapy, lifestyle adjustments, and medications, to manage anxiety disorders.
Counseling and psychotherapy
Talking therapies for anxiety and panic attacks can
involve
the following, often in combination:
Cognitive behavioral therapy (CBT):
This
type of therapy
can help you see things that worry you in a new way. A counselor can help you develop strategies for managing triggers when they arise.
Cognitive therapy:
This can help you pinpoint, reframe, and neutralize the underlying unhelpful thoughts that tend to accompany anxiety disorder.
Exposure therapy:
This
form of therapy
involves controlled exposure to situations that trigger fear and anxiety, which can help you learn to confront those fears in a new way.
Relaxation techniques:
These
include
breathing exercises, guided imagery, progressive relaxation, biofeedback, and autogenic training. A doctor can explain these techniques.
A doctor may also suggest attending individual sessions, group sessions, or a combination of the two.
Medication
Examples of medications a doctor
may prescribe
for anxiety symptoms are:
Antidepressants:
These medications include
selective serotonin reuptake inhibitors
(SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs).
Beta-blockers:
These
medications
can help manage certain physical symptoms like a
rapid heart rate
.
Anti-anxiety drugs:
This group of drugs includes
benzodiazepines
, a sedative medication that can suppress symptoms quickly.
All these drugs can have side effects. SSRIs and SNRIs are typically prescribed for long-term use, and it can usually take time to feel the effects of these drugs. Benzodiazepines are typically prescribed for short-term use only, as there is a high risk of dependence.
Often, a doctor recommends a combination of treatments. They may also need to alter your treatment plan over time.
Optum Now is operated by RVO Health. By clicking on this link, we may receive a commission.
Learn more.
If you have anxiety or anticipate a panic attack, consider the following:
Take slow deep breaths:
When you feel your breath quickening, focus your attention on each inhale and exhale. Feel your stomach fill with air as you inhale. Count down from four as you exhale. Repeat until your breathing slows.
Recognize and accept what you’re experiencing:
If you’ve already experienced an anxiety or panic attack, you know that it can be incredibly challenging. Remind yourself that the symptoms will pass.
Practice mindfulness:
Mindfulness-based interventions are
increasingly used
to treat anxiety and panic disorders.
Mindfulness
is a technique that can help you ground your thoughts in the present. You can practice mindfulness by actively observing thoughts and sensations without reacting to them.
Use relaxation techniques:
Relaxation techniques include guided imagery,
aromatherapy
, and muscle relaxation. If you’re experiencing symptoms of anxiety or a panic attack, try doing things that you find relaxing. Close your eyes, take a bath, or use
lavender
, which has relaxing effects.
Lifestyle changes
The following lifestyle changes
can help
you prevent anxiety and panic attacks, as well as reduce the severity of symptoms when an attack occurs:
reducing and managing sources of stress
in your life
learning how to identify and
stop negative thoughts
getting regular physical activity, such as exercising
practicing
meditation
or
yoga
eating a
nutritious and balanced diet
joining a
support group
for people with anxiety or panic attacks
avoiding or limiting consuming
alcohol
and caffeine
The term “anxiety attacks” may be used to refer to episodes of heightened anxiety, but it does not correspond to a formal mental health symptom or condition.
Panic attacks are recognized episodes of intense anxiety with severe physical and mental symptoms. They are temporary and may come suddenly with or without a clear trigger.
If you have panic attacks or intense anxiety that doesn’t go away after a few days, consider reaching out to a healthcare professional. |
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Explore more in
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- ### Related Conditions
Related Conditions
#### Related Articles
- [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 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)
# What’s the Difference Between a Panic Attack and an Anxiety Attack?

[Medically reviewed]() by [Nicole Washington, DO, MPH]() — Written by [Carly Vandergriendt]() — [Updated on May 25, 2024]()
- [Anxiety attack](https://www.healthline.com/health/panic-attack-vs-anxiety-attack#anxiety-attack)
- [Panic attack](https://www.healthline.com/health/panic-attack-vs-anxiety-attack#panic-attack)
- [Symptoms](https://www.healthline.com/health/panic-attack-vs-anxiety-attack#symptoms)
- [Causes](https://www.healthline.com/health/panic-attack-vs-anxiety-attack#causes)
- [Risk factors](https://www.healthline.com/health/panic-attack-vs-anxiety-attack#risk-factors)
- [Diagnosis](https://www.healthline.com/health/panic-attack-vs-anxiety-attack#diagnosis)
- [Treatments](https://www.healthline.com/health/panic-attack-vs-anxiety-attack#treatments)
- [Home remedies](https://www.healthline.com/health/panic-attack-vs-anxiety-attack#home-remedies)
- [Takeaway](https://www.healthline.com/health/panic-attack-vs-anxiety-attack#takeaway)
### Key takeaways
- While the term “anxiety attack” is commonly used, it isn’t a medical term. It often refers to intense anxiety or what might actually be a panic attack.
- Panic attacks are sudden episodes of intense fear with physical and emotional symptoms like a racing heart, shortness of breath, and a sense of losing control. They may occur unexpectedly or be triggered by specific stressors.
- Psychotherapy and lifestyle adjustments, such as practicing mindfulness and reducing stress, may help manage anxiety and panic attacks.
Panic attacks are common in people with panic disorder, but anyone may experience one during their lifetime.
## [What is an anxiety attack?]()
The Diagnostic and Statistical Manual of Mental Disorders, 5th edition, text revision (DSM-5-TR) doesn’t include anxiety attacks as a stand-alone diagnosis. Instead, the reference manual lists [anxiety disorders](https://www.healthline.com/health/anxiety).
This [includes](https://psychiatry.org/patients-families/anxiety-disorders/what-are-anxiety-disorders) the following conditions:
- [generalized anxiety disorder](https://www.healthline.com/health/anxiety/generalized-anxiety-disorder)
- [panic disorder](https://www.healthline.com/health/panic-disorder)
- [separation anxiety disorder](https://www.healthline.com/health/anxiety/separation-anxiety)
- [agoraphobia](https://www.healthline.com/health/agoraphobia) without a history of panic disorder
- [social anxiety disorder](https://www.healthline.com/health/anxiety/social-phobia)
- [specific phobia](https://www.healthline.com/health/list-of-phobias)
Anxiety is an experience [usually related](https://www.nimh.nih.gov/health/topics/anxiety-disorders) to the anticipation or handling of a stressful situation, experience, or event. It may come on gradually or suddenly.
Symptoms of anxiety include:
- worry
- distress
- fear
When these symptoms come on suddenly and intensely, a person may refer to them as an anxiety attack, when they may be describing a panic attack instead or an episode of severe anxiety.
## [What is a panic attack?]()
[Panic attacks](https://www.healthline.com/health/panic-attack) come on suddenly and involve intense and often overwhelming fear. They’re [accompanied](https://www.ncbi.nlm.nih.gov/books/NBK430973/) by very challenging physical symptoms like a racing heartbeat, shortness of breath, or nausea.
The DSM-5-TR recognizes panic attacks and categorizes them as unexpected or expected.
Unexpected panic attacks can occur without an obvious cause. Expected panic attacks are cued by external stressors, such as [phobias](https://www.healthline.com/health/phobia-simple-specific).
Panic attacks can happen to anyone, but having more than one may be a sign of [panic disorder](https://www.healthline.com/health/panic-disorder), a mental health condition characterized by sudden and repeated panic attacks.
## [Symptoms of panic attack vs. anxiety attack]()
Because anxiety attacks aren’t a formal condition or experience, there are no specific diagnostic criteria or symptoms for it.
A panic attack can cause physical and emotional symptoms, including:
- apprehension and worry
- intense distress
- fear of dying or losing control
- a sense of detachment from the world (derealization) or oneself (depersonalization)
- heart palpitations or an accelerated heart rate
- chest pain
- shortness of breath
- tightness in the throat or feeling like you’re choking
- dry mouth
- sweating
- chills or hot flashes
- trembling or shaking
- numbness or tingling (paresthesia)
- nausea, abdominal pain, or upset stomach
- headache
- feeling faint or dizzy
It may be difficult to know when you’re having a panic attack. Keep in mind the following:
- **The cause:** Anxiety is typically related to something that’s perceived as stressful or threatening. Panic attacks aren’t always cued by stressors. They
[most often](https://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms)
occur out of the blue.
- **The level of distress:** While anxiety can be mild, moderate, or severe, panic attacks are intense experiences. For example, you may be unable to move or react when having a panic attack.
- **Fight-or-flight response:** During a panic attack, the body’s autonomous fight-or-flight response takes over. Physical symptoms are often more intense than when you’re feeling anxious in general.
- **Speed of onset:** Panic attacks usually occur abruptly and may last a few minutes or hours.
- **Effect:** Panic attacks may trigger intense worries or fears related to having another attack. This may have an effect on your behavior, leading you to avoid places or situations where you think you might be at risk of a panic attack.
## [Causes of panic attack vs. anxiety attack]()
Everyone’s different and may feel anxious about a variety of situations. You may feel anxious about a first date, job interview, or coming up with solutions to an unexpected personal problem. This anxiety may be mild to severe, depending on your emotional resources and support.
Panic attacks may occur for expected or unexpected reasons.
Unexpected panic attacks have no clear external triggers. For example, you may be taking a nap and wake up with a panic attack.
Expected panic attacks happen when you face a known trigger. For example, if you’re afraid of flying, you could have a panic attack before boarding your flight.
Other sources and causes of mild to severe anxiety, including panic attacks, may [include](https://www.nhs.uk/mental-health/feelings-symptoms-behaviours/feelings-and-symptoms/anxiety-fear-panic/):
- a stressful job
- driving
- social situations
- phobias like agoraphobia (fear of crowded or open spaces), [claustrophobia](https://www.healthline.com/health/claustrophobia) (fear of small spaces), and [acrophobia](https://www.healthline.com/health/acrophobia-or-fear-of-heights-symptoms-causes-and-treatment) (fear of heights)
- reminders or memories of traumatic experiences
- chronic illnesses like [heart disease](https://www.healthline.com/health/heart-disease), [diabetes](https://www.healthline.com/health/diabetes), [irritable bowel syndrome](https://www.healthline.com/health/irritable-bowel-syndrome), or [asthma](https://www.healthline.com/health/asthma)
- [chronic pain](https://www.healthline.com/health/chronic-pain)
- [alcohol](https://www.healthline.com/health/alcoholism/withdrawal) or drug withdrawal
- [caffeine](https://www.healthline.com/health/caffeine-effects-on-body)
- medication and supplements
- thyroid problems
## [Risk factors for panic attack vs. anxiety attack]()
Anxiety, in general, may be more likely when you have a few risk factors, [including](https://www.nimh.nih.gov/health/topics/anxiety-disorders):
- experiencing trauma or witnessing traumatic events, either as a child or as an adult
- experiencing a stressful life event, such as the death of a loved one or a divorce
- experiencing ongoing stress and worries, such as work responsibilities, conflict in your family, or financial woes
- living with a chronic health condition or life threatening illness
- having an anxious personality
- having another mental health condition like depression
- having close family members who also have anxiety or panic disorders
- using illegal drugs or consuming alcohol
People who live with an anxiety disorder are at an increased risk of experiencing panic attacks. However, having anxiety does not mean you will experience a panic attack.
## [Diagnosing panic attack vs. anxiety attack]()
Because it’s not a formal condition, healthcare professionals will not diagnose anxiety attacks. Instead, if you have persistent anxiety or panic attacks, they may diagnose an anxiety disorder.
A doctor will ask you about your symptoms and conduct tests to rule out other health conditions with similar symptoms, such as heart disease or thyroid problems.
To get a diagnosis, a doctor may:
- conduct a physical exam
- order blood tests
- order a heart test, like an [electrocardiogram (ECG or EKG)](https://www.healthline.com/health/electrocardiogram)
- recommend a psychological evaluation or questionnaire
Learn more about how to tell the [difference between a heart attack and a panic attack](https://www.healthline.com/health/panic-attack-vs-heart-attack).
## [Treatment and medication for panic attack vs. anxiety attack]()
Mental health professionals may prescribe different strategies, including psychotherapy, lifestyle adjustments, and medications, to manage anxiety disorders.
### Counseling and psychotherapy
Talking therapies for anxiety and panic attacks can [involve](https://www.nimh.nih.gov/health/topics/anxiety-disorders) the following, often in combination:
- **Cognitive behavioral therapy (CBT):** This [type of therapy](https://www.healthline.com/health/cognitive-behavioral-therapy) can help you see things that worry you in a new way. A counselor can help you develop strategies for managing triggers when they arise.
- **Cognitive therapy:** This can help you pinpoint, reframe, and neutralize the underlying unhelpful thoughts that tend to accompany anxiety disorder.
- **Exposure therapy:** This [form of therapy](https://www.healthline.com/health/exposure-therapy) involves controlled exposure to situations that trigger fear and anxiety, which can help you learn to confront those fears in a new way.
- **Relaxation techniques:** These
[include](https://www.nccih.nih.gov/health/relaxation-techniques-what-you-need-to-know)
breathing exercises, guided imagery, progressive relaxation, biofeedback, and autogenic training. A doctor can explain these techniques.
A doctor may also suggest attending individual sessions, group sessions, or a combination of the two.
### Medication
Examples of medications a doctor [may prescribe](https://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms) for anxiety symptoms are:
- **Antidepressants:** These medications include [selective serotonin reuptake inhibitors](https://www.healthline.com/health/depression/selective-serotonin-reuptake-inhibitors-ssris) (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs).
- **Beta-blockers:** These [medications](https://www.healthline.com/health/heart-disease/beta-blockers) can help manage certain physical symptoms like a [rapid heart rate](https://www.healthline.com/health/arrhythmia).
- **Anti-anxiety drugs:** This group of drugs includes [benzodiazepines](https://www.healthline.com/health/bipolar-disorder/benzodiazepines), a sedative medication that can suppress symptoms quickly.
All these drugs can have side effects. SSRIs and SNRIs are typically prescribed for long-term use, and it can usually take time to feel the effects of these drugs. Benzodiazepines are typically prescribed for short-term use only, as there is a high risk of dependence.
Often, a doctor recommends a combination of treatments. They may also need to alter your treatment plan over time.
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Optum Now is operated by RVO Health. By clicking on this link, we may receive a commission. [Learn more.](https://www.healthline.com/about/brand-and-product-vetting)
## [Home remedies for panic attack vs. anxiety attack]()
If you have anxiety or anticipate a panic attack, consider the following:
- **Take slow deep breaths:** When you feel your breath quickening, focus your attention on each inhale and exhale. Feel your stomach fill with air as you inhale. Count down from four as you exhale. Repeat until your breathing slows.
- **Recognize and accept what you’re experiencing:** If you’ve already experienced an anxiety or panic attack, you know that it can be incredibly challenging. Remind yourself that the symptoms will pass.
- **Practice mindfulness:** Mindfulness-based interventions are
[increasingly used](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5679245/)
to treat anxiety and panic disorders. [Mindfulness](https://www.healthline.com/health/mind-body/what-is-mindfulness) is a technique that can help you ground your thoughts in the present. You can practice mindfulness by actively observing thoughts and sensations without reacting to them.
- **Use relaxation techniques:** Relaxation techniques include guided imagery, [aromatherapy](https://www.healthline.com/health/what-is-aromatherapy), and muscle relaxation. If you’re experiencing symptoms of anxiety or a panic attack, try doing things that you find relaxing. Close your eyes, take a bath, or use [lavender](https://www.healthline.com/health/what-lavender-can-do-for-you), which has relaxing effects.
### Lifestyle changes
The following lifestyle changes [can help](https://www.nhs.uk/mental-health/conditions/generalised-anxiety-disorder/self-help/) you prevent anxiety and panic attacks, as well as reduce the severity of symptoms when an attack occurs:
- [reducing and managing sources of stress](https://www.healthline.com/nutrition/16-ways-relieve-stress-anxiety) in your life
- learning how to identify and [stop negative thoughts](https://www.healthline.com/health/mental-health/stop-automatic-negative-thoughts)
- getting regular physical activity, such as exercising
- practicing [meditation](https://www.healthline.com/nutrition/12-benefits-of-meditation) or [yoga](https://www.healthline.com/health/fitness/yoga-for-stress)
- eating a [nutritious and balanced diet](https://www.healthline.com/nutrition/stress-relieving-foods)
- joining a [support group](https://www.healthline.com/health/mental-health/anxiety-support-groups) for people with anxiety or panic attacks
- avoiding or limiting consuming [alcohol](https://www.healthline.com/health/alcohol/how-to-stop-drinking) and caffeine
## [Takeaway]()
The term “anxiety attacks” may be used to refer to episodes of heightened anxiety, but it does not correspond to a formal mental health symptom or condition.
Panic attacks are recognized episodes of intense anxiety with severe physical and mental symptoms. They are temporary and may come suddenly with or without a clear trigger.
If you have panic attacks or intense anxiety that doesn’t go away after a few days, consider reaching out to a healthcare professional.
[Read this article in Spanish.](https://www.healthline.com/health/es/ataque-de-panico-vs-ataque-de-ansiedad)
### 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).
- American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders (5th ed., text rev.). Arlington, VA: American Psychiatric Association
- Anxiety disorders. (2024).
<https://www.nimh.nih.gov/health/topics/anxiety-disorders>
- Anxiety, fear and panic. (2023).
<https://www.nhs.uk/mental-health/feelings-symptoms-behaviours/feelings-and-symptoms/anxiety-fear-panic/>
- Cackovic C, et al. (2023). Panic disorder.
<https://www.ncbi.nlm.nih.gov/books/NBK430973/>
- DSM-5 Basics. (n.d.).
<https://dsm.psychiatryonline.org/doi/abs/10.5555/appi.books.9780890425787.Section_1>
- Hofmann SG, et al. (2017). Mindfulness-based interventions for anxiety and depression.
<https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5679245/>
- Panic disorder: When fear overwhelms. (2022).
<https://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms>
- Relaxation techniques: What you need to know. (2021).
<https://www.nccih.nih.gov/health/relaxation-techniques-what-you-need-to-know>
- Self-help - generalised anxiety disorder in adults. (2022).
<https://www.nhs.uk/mental-health/conditions/generalised-anxiety-disorder/self-help/>
- What are anxiety disorders? (2023).
<https://psychiatry.org/patients-families/anxiety-disorders/what-are-anxiety-disorders>
Share this article

[Medically reviewed]() by [Nicole Washington, DO, MPH]() — Written by [Carly Vandergriendt]() — [Updated on May 25, 2024]()
## related stories
- [Is Breathing Into a Paper Bag Helpful During an Anxiety Attack?](https://www.healthline.com/health/anxiety/breathing-into-a-paper-bag?utm_source=ReadNext)
- [What Are the Symptoms of Anxiety?](https://www.healthline.com/health/anxiety-symptoms?utm_source=ReadNext)
- [12 Ways to Calm Your Anxiety](https://www.healthline.com/health/how-to-calm-anxiety?utm_source=ReadNext)
- [5 Ways to Understand Your Anxiety](https://www.healthline.com/health/anxiety/getting-to-know-my-anxiety?utm_source=ReadNext)
- [When You Might Consider Consulting a Psychologist](https://www.healthline.com/health/mental-health/psychologist-help?utm_source=ReadNext)
***
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| Readable Markdown | Panic attacks are common in people with panic disorder, but anyone may experience one during their lifetime.
The Diagnostic and Statistical Manual of Mental Disorders, 5th edition, text revision (DSM-5-TR) doesn’t include anxiety attacks as a stand-alone diagnosis. Instead, the reference manual lists [anxiety disorders](https://www.healthline.com/health/anxiety).
This [includes](https://psychiatry.org/patients-families/anxiety-disorders/what-are-anxiety-disorders) the following conditions:
- [generalized anxiety disorder](https://www.healthline.com/health/anxiety/generalized-anxiety-disorder)
- [panic disorder](https://www.healthline.com/health/panic-disorder)
- [separation anxiety disorder](https://www.healthline.com/health/anxiety/separation-anxiety)
- [agoraphobia](https://www.healthline.com/health/agoraphobia) without a history of panic disorder
- [social anxiety disorder](https://www.healthline.com/health/anxiety/social-phobia)
- [specific phobia](https://www.healthline.com/health/list-of-phobias)
Anxiety is an experience [usually related](https://www.nimh.nih.gov/health/topics/anxiety-disorders) to the anticipation or handling of a stressful situation, experience, or event. It may come on gradually or suddenly.
Symptoms of anxiety include:
- worry
- distress
- fear
When these symptoms come on suddenly and intensely, a person may refer to them as an anxiety attack, when they may be describing a panic attack instead or an episode of severe anxiety.
[Panic attacks](https://www.healthline.com/health/panic-attack) come on suddenly and involve intense and often overwhelming fear. They’re [accompanied](https://www.ncbi.nlm.nih.gov/books/NBK430973/) by very challenging physical symptoms like a racing heartbeat, shortness of breath, or nausea.
The DSM-5-TR recognizes panic attacks and categorizes them as unexpected or expected.
Unexpected panic attacks can occur without an obvious cause. Expected panic attacks are cued by external stressors, such as [phobias](https://www.healthline.com/health/phobia-simple-specific).
Panic attacks can happen to anyone, but having more than one may be a sign of [panic disorder](https://www.healthline.com/health/panic-disorder), a mental health condition characterized by sudden and repeated panic attacks.
Because anxiety attacks aren’t a formal condition or experience, there are no specific diagnostic criteria or symptoms for it.
A panic attack can cause physical and emotional symptoms, including:
- apprehension and worry
- intense distress
- fear of dying or losing control
- a sense of detachment from the world (derealization) or oneself (depersonalization)
- heart palpitations or an accelerated heart rate
- chest pain
- shortness of breath
- tightness in the throat or feeling like you’re choking
- dry mouth
- sweating
- chills or hot flashes
- trembling or shaking
- numbness or tingling (paresthesia)
- nausea, abdominal pain, or upset stomach
- headache
- feeling faint or dizzy
It may be difficult to know when you’re having a panic attack. Keep in mind the following:
- **The cause:** Anxiety is typically related to something that’s perceived as stressful or threatening. Panic attacks aren’t always cued by stressors. They
[most often](https://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms)
occur out of the blue.
- **The level of distress:** While anxiety can be mild, moderate, or severe, panic attacks are intense experiences. For example, you may be unable to move or react when having a panic attack.
- **Fight-or-flight response:** During a panic attack, the body’s autonomous fight-or-flight response takes over. Physical symptoms are often more intense than when you’re feeling anxious in general.
- **Speed of onset:** Panic attacks usually occur abruptly and may last a few minutes or hours.
- **Effect:** Panic attacks may trigger intense worries or fears related to having another attack. This may have an effect on your behavior, leading you to avoid places or situations where you think you might be at risk of a panic attack.
Everyone’s different and may feel anxious about a variety of situations. You may feel anxious about a first date, job interview, or coming up with solutions to an unexpected personal problem. This anxiety may be mild to severe, depending on your emotional resources and support.
Panic attacks may occur for expected or unexpected reasons.
Unexpected panic attacks have no clear external triggers. For example, you may be taking a nap and wake up with a panic attack.
Expected panic attacks happen when you face a known trigger. For example, if you’re afraid of flying, you could have a panic attack before boarding your flight.
Other sources and causes of mild to severe anxiety, including panic attacks, may [include](https://www.nhs.uk/mental-health/feelings-symptoms-behaviours/feelings-and-symptoms/anxiety-fear-panic/):
- a stressful job
- driving
- social situations
- phobias like agoraphobia (fear of crowded or open spaces), [claustrophobia](https://www.healthline.com/health/claustrophobia) (fear of small spaces), and [acrophobia](https://www.healthline.com/health/acrophobia-or-fear-of-heights-symptoms-causes-and-treatment) (fear of heights)
- reminders or memories of traumatic experiences
- chronic illnesses like [heart disease](https://www.healthline.com/health/heart-disease), [diabetes](https://www.healthline.com/health/diabetes), [irritable bowel syndrome](https://www.healthline.com/health/irritable-bowel-syndrome), or [asthma](https://www.healthline.com/health/asthma)
- [chronic pain](https://www.healthline.com/health/chronic-pain)
- [alcohol](https://www.healthline.com/health/alcoholism/withdrawal) or drug withdrawal
- [caffeine](https://www.healthline.com/health/caffeine-effects-on-body)
- medication and supplements
- thyroid problems
Anxiety, in general, may be more likely when you have a few risk factors, [including](https://www.nimh.nih.gov/health/topics/anxiety-disorders):
- experiencing trauma or witnessing traumatic events, either as a child or as an adult
- experiencing a stressful life event, such as the death of a loved one or a divorce
- experiencing ongoing stress and worries, such as work responsibilities, conflict in your family, or financial woes
- living with a chronic health condition or life threatening illness
- having an anxious personality
- having another mental health condition like depression
- having close family members who also have anxiety or panic disorders
- using illegal drugs or consuming alcohol
People who live with an anxiety disorder are at an increased risk of experiencing panic attacks. However, having anxiety does not mean you will experience a panic attack.
Because it’s not a formal condition, healthcare professionals will not diagnose anxiety attacks. Instead, if you have persistent anxiety or panic attacks, they may diagnose an anxiety disorder.
A doctor will ask you about your symptoms and conduct tests to rule out other health conditions with similar symptoms, such as heart disease or thyroid problems.
To get a diagnosis, a doctor may:
- conduct a physical exam
- order blood tests
- order a heart test, like an [electrocardiogram (ECG or EKG)](https://www.healthline.com/health/electrocardiogram)
- recommend a psychological evaluation or questionnaire
Mental health professionals may prescribe different strategies, including psychotherapy, lifestyle adjustments, and medications, to manage anxiety disorders.
Counseling and psychotherapy
Talking therapies for anxiety and panic attacks can [involve](https://www.nimh.nih.gov/health/topics/anxiety-disorders) the following, often in combination:
- **Cognitive behavioral therapy (CBT):** This [type of therapy](https://www.healthline.com/health/cognitive-behavioral-therapy) can help you see things that worry you in a new way. A counselor can help you develop strategies for managing triggers when they arise.
- **Cognitive therapy:** This can help you pinpoint, reframe, and neutralize the underlying unhelpful thoughts that tend to accompany anxiety disorder.
- **Exposure therapy:** This [form of therapy](https://www.healthline.com/health/exposure-therapy) involves controlled exposure to situations that trigger fear and anxiety, which can help you learn to confront those fears in a new way.
- **Relaxation techniques:** These
[include](https://www.nccih.nih.gov/health/relaxation-techniques-what-you-need-to-know)
breathing exercises, guided imagery, progressive relaxation, biofeedback, and autogenic training. A doctor can explain these techniques.
A doctor may also suggest attending individual sessions, group sessions, or a combination of the two.
Medication
Examples of medications a doctor [may prescribe](https://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms) for anxiety symptoms are:
- **Antidepressants:** These medications include [selective serotonin reuptake inhibitors](https://www.healthline.com/health/depression/selective-serotonin-reuptake-inhibitors-ssris) (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs).
- **Beta-blockers:** These [medications](https://www.healthline.com/health/heart-disease/beta-blockers) can help manage certain physical symptoms like a [rapid heart rate](https://www.healthline.com/health/arrhythmia).
- **Anti-anxiety drugs:** This group of drugs includes [benzodiazepines](https://www.healthline.com/health/bipolar-disorder/benzodiazepines), a sedative medication that can suppress symptoms quickly.
All these drugs can have side effects. SSRIs and SNRIs are typically prescribed for long-term use, and it can usually take time to feel the effects of these drugs. Benzodiazepines are typically prescribed for short-term use only, as there is a high risk of dependence.
Often, a doctor recommends a combination of treatments. They may also need to alter your treatment plan over time.
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If you have anxiety or anticipate a panic attack, consider the following:
- **Take slow deep breaths:** When you feel your breath quickening, focus your attention on each inhale and exhale. Feel your stomach fill with air as you inhale. Count down from four as you exhale. Repeat until your breathing slows.
- **Recognize and accept what you’re experiencing:** If you’ve already experienced an anxiety or panic attack, you know that it can be incredibly challenging. Remind yourself that the symptoms will pass.
- **Practice mindfulness:** Mindfulness-based interventions are
[increasingly used](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5679245/)
to treat anxiety and panic disorders. [Mindfulness](https://www.healthline.com/health/mind-body/what-is-mindfulness) is a technique that can help you ground your thoughts in the present. You can practice mindfulness by actively observing thoughts and sensations without reacting to them.
- **Use relaxation techniques:** Relaxation techniques include guided imagery, [aromatherapy](https://www.healthline.com/health/what-is-aromatherapy), and muscle relaxation. If you’re experiencing symptoms of anxiety or a panic attack, try doing things that you find relaxing. Close your eyes, take a bath, or use [lavender](https://www.healthline.com/health/what-lavender-can-do-for-you), which has relaxing effects.
Lifestyle changes
The following lifestyle changes [can help](https://www.nhs.uk/mental-health/conditions/generalised-anxiety-disorder/self-help/) you prevent anxiety and panic attacks, as well as reduce the severity of symptoms when an attack occurs:
- [reducing and managing sources of stress](https://www.healthline.com/nutrition/16-ways-relieve-stress-anxiety) in your life
- learning how to identify and [stop negative thoughts](https://www.healthline.com/health/mental-health/stop-automatic-negative-thoughts)
- getting regular physical activity, such as exercising
- practicing [meditation](https://www.healthline.com/nutrition/12-benefits-of-meditation) or [yoga](https://www.healthline.com/health/fitness/yoga-for-stress)
- eating a [nutritious and balanced diet](https://www.healthline.com/nutrition/stress-relieving-foods)
- joining a [support group](https://www.healthline.com/health/mental-health/anxiety-support-groups) for people with anxiety or panic attacks
- avoiding or limiting consuming [alcohol](https://www.healthline.com/health/alcohol/how-to-stop-drinking) and caffeine
The term “anxiety attacks” may be used to refer to episodes of heightened anxiety, but it does not correspond to a formal mental health symptom or condition.
Panic attacks are recognized episodes of intense anxiety with severe physical and mental symptoms. They are temporary and may come suddenly with or without a clear trigger.
If you have panic attacks or intense anxiety that doesn’t go away after a few days, consider reaching out to a healthcare professional. |
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