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| Meta Title | Panic attack vs. anxiety attack: What is the difference? |
| Meta Description | Panic attacks and anxiety attacks share some symptoms, but they differ in intensity, duration, and whether or not there is a trigger. |
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| Boilerpipe Text | People often use the terms panic attack and anxiety attack interchangeably, but they are not the same. These types of attacks have different intensities and durations.
In this article, we detail the differences between panic and anxiety attacks.
Because the symptoms are so similar, it can be difficult to distinguish between panic and
anxiety attacks
.
Here are some tips that can help:
Panic attacks
Anxiety attacks
Typically occur with a trigger but can occur without one.
A response to a perceived stressor or threat.
Symptoms typically appear suddenly.
Feelings of anxiety may build gradually over time.
Symptoms are disruptive and may involve a sense of detachment.
Symptoms can vary in intensity from mild to severe.
Typically subside after a few minutes.
Symptoms may prevail for longer periods.
Anxiety and panic attacks have different symptoms.
Panic attack symptoms
Panic attacks come on suddenly and can occur with or without an identifiable trigger.
a rapid
heart rate
chest pain
dizziness
or
lightheadedness
hot flashes
or
chills
nausea
numbness or tingling
in the extremities
shaking
shortness of breath
stomach pain
sweating
People experiencing a panic attack may also:
feel a loss of control
have a sudden fear that they will die
feel detached from themselves or their surroundings
However, several panic attacks can occur in a row, making it seem like an attack lasts much longer. After an attack, many people feel stressed, worried, or otherwise unusual for the rest of the day.
Anxiety attack symptoms
While panic attacks come on suddenly,
anxiety symptoms
follow a period of excessive worry.
Anxiety symptoms may become more pronounced over a few minutes or hours. They are typically less intense than those of panic attacks.
nervousness
irritability
increased heart rate
rapid breathing
trembling
sweating
a sense of impending danger
difficulty concentrating
sleep disturbances
Anxiety symptoms often last longer than the symptoms of a panic attack. They may persist for days, weeks, or months.
Visit our dedicated anxiety hub
here
.
The exact causes of anxiety and panic disorders are unclear. People
likely develop
these disorders due to a combination of genetic, medical, and external factors.
People may experience panic or anxiety attacks due to predictable or unpredictable threats. These threats may be real or perceived.
A person may experience anxiety or panic attacks due to:
environmental stressors
withdrawal from alcohol
or drugs
chronic conditions or
chronic pain
medication side effects
phobias
(excessive fears of objects or situations)
exposure to trauma triggers
overuse of stimulants such as
caffeine
People are more likely to experience panic attacks if they have:
personal or family history of panic attacks
other mental health issues, such as
depression
,
bipolar disorder
, or an anxiety disorder
a chronic medical condition, such as a thyroid disorder,
diabetes
, or
heart disease
issues with alcohol or drug use
life stressors
stressful events
past trauma
A 2019 study
found that sexual minorities are more likely to experience
GAD
, although the prevalence varied by age group. Researchers classified any person that endorsed same-sex attraction, same-sex behavior, or identified as non-heterosexual as a sexual minority.
Other studies found that LGBT+ young people are
twice as likely
to experience anxiety or panic attacks as their peers.
Women are also
twice as likely
to develop an anxiety disorder as men.
A doctor or mental health professional can diagnose a panic attack, panic disorder, or anxiety disorder.
They
base their diagnoses
on definitions in the
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition
(
DSM-5
).
These professionals cannot diagnose an anxiety attack because it is not a clinically defined condition in the
DSM-5
. They can, however, recognize the symptoms of anxiety and
diagnose an anxiety disorder
.
A doctor will discuss symptoms and life events to diagnose any of these conditions. They may also perform a psychological evaluation to determine which category the symptoms fall into.
It may be necessary to rule out physiological conditions that share similar symptoms.
To do this, a doctor may perform:
a physical examination
blood tests
heart tests, such as an EKG
manage or reduce stressors
limit alcohol
and caffeine intake
eat a healthy and
balanced diet
sleep
for 8 hours a night
practice meditation,
yoga
, or deep breathing
build a support network
During a panic or anxiety attack
The following strategies can help during an attack:
Acknowledgment:
The symptoms of a panic or anxiety attack can be extremely frightening. Acknowledging the situation and remembering that symptoms will soon pass can reduce anxiety and fear.
Breathing techniques:
Difficulty breathing is among the most common and alarming symptoms of these attacks. Learning techniques to control breathing can help during an attack.
Relaxation techniques:
Methods of relaxation, such as progressive muscle relaxation and
guided imagery
, can reduce feelings of panic and anxiety.
Mindfulness:
Mindfulness helps people stay grounded in the present moment. It can be especially beneficial for people with anxiety, who tend to worry about perceived and potential stressors.
Medical professionals will assess a person’s symptoms and plan treatment accordingly. This will typically center on therapy, medication, or a combination of the two.
Therapy
Engaging in interpersonal
therapy sessions
can help identify triggers and manage symptoms. Therapy also aims to help people accept the past and work toward the future. These sessions can take place in person or remotely.
Cognitive behavioral therapy (CBT) is a
common treatment
for GAD and panic disorder. CBT focuses on a person’s behavioral responses to specific events or stressors. Therapists will work with their patients to establish new behavioral habits and techniques for responding to stressors.
Medication
Medication can reduce symptoms in people with severe anxiety and panic disorders. Doctors may recommend medications as a stand-alone treatment or alongside psychotherapy.
Selective serotonin reuptake inhibitors (SSRIs):
This is a
type of antidepressant
that increases serotonin levels in the brain.
Serotonin and noradrenaline reuptake inhibitors (SNRIs):
This is another antidepressant medication. It works by increasing levels of serotonin and noradrenaline in the brain.
Pregabalin:
If antidepressants do not work, a doctor may prescribe
pregabalin
, an anticonvulsant. Doctors typically prescribe this to
reduce seizure
frequency and severity in
epilepsy
. However, it can help to reduce symptoms of anxiety.
Benzodiazepines:
Doctors may prescribe
benzodiazepines
as a short-term treatment for severe anxiety. This medication is a sedative and is not safe for long-term use.
In 2020, the
Food and Drug Administration (FDA)
warned that benzodiazepine use can lead to physical dependence, and withdrawal can be life threatening. Combining these drugs with alcohol, opioids, and other substances can result in death. It is essential to follow the doctor’s instructions when using these and other antianxiety drugs.
Panic and anxiety attacks are different, but they share some symptoms.
Anxiety attacks often follow periods of prolonged worry. Panic attacks tend to occur suddenly, and the symptoms are often more intense.
Panic and anxiety can be distressing and disruptive, but self-help strategies can reduce the intensity of symptoms. Therapy and medication can prevent or reduce the number of future episodes.
The sooner a person seeks help, the better the outcome. |
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- [Surgery](https://www.medicalnewstoday.com/articles/surgery-anxiety)
- [At Night](https://www.medicalnewstoday.com/articles/anxiety-at-night)
- [Dental](https://www.medicalnewstoday.com/articles/what-to-know-about-dental-anxiety)
- [In Males](https://www.medicalnewstoday.com/articles/anxiety-in-men-fighting-stereotypes)
- [Hangover](https://www.medicalnewstoday.com/articles/hangover-anxiety)
- [Test](https://www.medicalnewstoday.com/articles/test-anxiety-tips)
- [Gym](https://www.medicalnewstoday.com/articles/gym-anxiety)
- ### Complications
Complications
#### Related Articles
- [Left Arm Pain](https://www.medicalnewstoday.com/articles/left-arm-pain-from-anxiety)
- [Hot Flashes](https://www.medicalnewstoday.com/articles/anxiety-hot-flashes)
- [Acid Reflux](https://www.medicalnewstoday.com/articles/acid-reflux-and-anxiety)
- [Anxiety Poop](https://www.medicalnewstoday.com/articles/anxiety-poop)
- [Atrial Fibrillation](https://www.medicalnewstoday.com/articles/can-anxiety-cause-atrial-fibrillation)
- [Inflammation](https://www.medicalnewstoday.com/articles/anxiety-and-inflammation-is-there-a-link)
- [Anxiety Dreams](https://www.medicalnewstoday.com/articles/anxiety-dreams)
- ### Related Conditions
Related Conditions
#### Related Articles
- [Vs. Depression](https://www.medicalnewstoday.com/articles/anxiety-vs-depression)
- [Psychosis](https://www.medicalnewstoday.com/articles/anxiety-psychosis)
- [Vs. Stress](https://www.medicalnewstoday.com/articles/stress-vs-anxiety)
- [Tinnitus](https://www.medicalnewstoday.com/articles/ringing-in-ears-anxiety)
- [Panic vs. Heart Attack](https://www.medicalnewstoday.com/articles/322797)
- [AVPD vs. Social Anxiety](https://www.medicalnewstoday.com/articles/avpd-vs-social-anxiety)
- [Vs. Paranoia](https://www.medicalnewstoday.com/articles/paranoia-vs-anxiety)
- [Adjustment Disorder](https://www.medicalnewstoday.com/articles/adjustment-disorder-with-anxiety)
# How do you know if you are having a panic or anxiety attack?

[Medically reviewed]() by [Vara Saripalli, Psy.D.]() — Written by [Jayne Leonard]() — [Updated on October 13, 2023]()
- [Differences](https://www.medicalnewstoday.com/articles/321798#differences)
- [Signs and symptoms](https://www.medicalnewstoday.com/articles/321798#signs-and-symptoms)
- [Causes](https://www.medicalnewstoday.com/articles/321798#causes)
- [Risk factors](https://www.medicalnewstoday.com/articles/321798#risk-factors)
- [Diagnosis](https://www.medicalnewstoday.com/articles/321798#diagnosis)
- [Home remedies](https://www.medicalnewstoday.com/articles/321798#home-remedies)
- [Medical treatments](https://www.medicalnewstoday.com/articles/321798#medical-treatments)
- [Takeaway](https://www.medicalnewstoday.com/articles/321798#takeaway)
### Key takeaways
- Panic attacks often manifest abruptly and intensely, sometimes without a clear trigger, whereas anxiety attacks tend to develop gradually in response to perceived stressors.
- The symptoms of panic attacks include a racing heart, chest pain, and shortness of breath, and can also involve feelings of detachment or a fear of dying.
- While both can be disruptive, panic attacks typically subside within minutes, while anxiety can persist, sometimes lasting for weeks or months. People can experience both.
People often use the terms panic attack and anxiety attack interchangeably, but they are not the same. These types of attacks have different intensities and durations.
In this article, we detail the differences between panic and anxiety attacks.
## [Differentiating between panic and anxiety attacks]()

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Because the symptoms are so similar, it can be difficult to distinguish between panic and [anxiety attacks](https://www.medicalnewstoday.com/articles/307863).
Here are some tips that can help:
| Panic attacks | Anxiety attacks |
|---|---|
| Typically occur with a trigger but can occur without one. | A response to a perceived stressor or threat. |
| Symptoms typically appear suddenly. | Feelings of anxiety may build gradually over time. |
| Symptoms are disruptive and may involve a sense of detachment. | Symptoms can vary in intensity from mild to severe. |
| Typically subside after a few minutes. | Symptoms may prevail for longer periods. |
## [What are the signs and symptoms?]()
Anxiety and panic attacks have different symptoms.
### Panic attack symptoms
Panic attacks come on suddenly and can occur with or without an identifiable trigger.
[Symptoms include](https://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms):
- a rapid [heart rate](https://www.medicalnewstoday.com/articles/235710)
- [chest pain](https://www.medicalnewstoday.com/articles/321650)
- [dizziness](https://www.medicalnewstoday.com/articles/319026) or [lightheadedness](https://www.medicalnewstoday.com/articles/323717)
- [hot flashes](https://www.medicalnewstoday.com/articles/hot-flash-causes) or [chills](https://www.medicalnewstoday.com/articles/chills)
- [nausea](https://www.medicalnewstoday.com/articles/269511)
- [numbness or tingling](https://www.medicalnewstoday.com/articles/326062) in the extremities
- [shaking](https://www.medicalnewstoday.com/articles/322195)
- [shortness of breath](https://www.medicalnewstoday.com/articles/314963)
- [stomach pain](https://www.medicalnewstoday.com/articles/318286)
- sweating
People experiencing a panic attack may also:
- feel a loss of control
- have a sudden fear that they will die
- feel detached from themselves or their surroundings
Panic attacks tend to last for [5](https://www.nhs.uk/mental-health/conditions/panic-disorder/)[–](https://www.nhs.uk/mental-health/conditions/panic-disorder/)[20 minutes](https://www.nhs.uk/mental-health/conditions/panic-disorder/).
However, several panic attacks can occur in a row, making it seem like an attack lasts much longer. After an attack, many people feel stressed, worried, or otherwise unusual for the rest of the day.
[Learn more about panic attacks and panic disorder here](https://www.medicalnewstoday.com/articles/8872).
### Anxiety attack symptoms
While panic attacks come on suddenly, [anxiety symptoms](https://www.medicalnewstoday.com/articles/322510) follow a period of excessive worry.
Anxiety symptoms may become more pronounced over a few minutes or hours. They are typically less intense than those of panic attacks.
Anxiety attacks are not a diagnosable condition. However, [symptoms of generalized anxiety disorder (GAD](https://adaa.org/understanding-anxiety/generalized-anxiety-disorder-gad/symptoms)[)](https://adaa.org/understanding-anxiety/generalized-anxiety-disorder-gad/symptoms) include:
- nervousness
- [irritability](https://www.medicalnewstoday.com/articles/325564)
- [increased heart rate](https://www.medicalnewstoday.com/articles/anxiety-with-heart-palpitations)
- rapid breathing
- [trembling](https://www.medicalnewstoday.com/articles/anxiety-shaking)
- sweating
- a sense of impending danger
- [difficulty concentrating](https://www.medicalnewstoday.com/articles/320111)
- sleep disturbances
Anxiety symptoms often last longer than the symptoms of a panic attack. They may persist for days, weeks, or months.
Visit our dedicated anxiety hub [here](https://www.medicalnewstoday.com/anxiety).
## [What causes panic and anxiety attacks?]()
The exact causes of anxiety and panic disorders are unclear. People [likely develop](https://www.nhs.uk/mental-health/conditions/generalised-anxiety-disorder/overview/) these disorders due to a combination of genetic, medical, and external factors.
[Learn more about the causes of anxiety here](https://www.medicalnewstoday.com/articles/323456).
People may experience panic or anxiety attacks due to predictable or unpredictable threats. These threats may be real or perceived.
A person may experience anxiety or panic attacks due to:
- environmental stressors
- [withdrawal from alcohol](https://www.medicalnewstoday.com/articles/322373) or drugs
- chronic conditions or [chronic pain](https://www.medicalnewstoday.com/articles/145750)
- medication side effects
- [phobias](https://www.medicalnewstoday.com/articles/249347.php "Everything you need to know about phobias") (excessive fears of objects or situations)
- exposure to trauma triggers
- overuse of stimulants such as [caffeine](https://www.medicalnewstoday.com/articles/anxiety-and-caffeine)
## [Risk factors for panic attacks]()
People are more likely to experience panic attacks if they have:
- personal or family history of panic attacks
- other mental health issues, such as [depression](https://www.medicalnewstoday.com/articles/8933), [bipolar disorder](https://www.medicalnewstoday.com/articles/37010.php "What should you know about bipolar disorder"), or an anxiety disorder
- a chronic medical condition, such as a thyroid disorder, [diabetes](https://www.medicalnewstoday.com/articles/323627), or [heart disease](https://www.medicalnewstoday.com/articles/237191.php "Everything you need to know about heart disease")
- issues with alcohol or drug use
- life stressors
- stressful events
- past trauma
[A 2019 study](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6606453/) found that sexual minorities are more likely to experience [GAD](https://www.medicalnewstoday.com/articles/326416), although the prevalence varied by age group. Researchers classified any person that endorsed same-sex attraction, same-sex behavior, or identified as non-heterosexual as a sexual minority.
Other studies found that LGBT+ young people are [twice as likely](https://1ef4ff9d-11bc-45cf-a0f9-d322bf989285.usrfiles.com/ugd/1ef4ff_d13c189a6588438ca1c131395992edc8.pdf) to experience anxiety or panic attacks as their peers.
Women are also [twice as likely](https://adaa.org/find-help-for/women/anxiety) to develop an anxiety disorder as men.
### A note about sex and gender
Sex and gender exist on spectrums. This article will use the terms “male,” “female,” or both to refer to sex assigned at birth. [Learn more.](https://www.medicalnewstoday.com/articles/232363)
## [Diagnosis]()
A doctor or mental health professional can diagnose a panic attack, panic disorder, or anxiety disorder.
They [base their diagnoses](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610609/) on definitions in the *Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition* (*DSM-5*).
These professionals cannot diagnose an anxiety attack because it is not a clinically defined condition in the *DSM-5*. They can, however, recognize the symptoms of anxiety and [diagnose an anxiety disorder](https://www.aafp.org/afp/2015/0501/p617.html).
A doctor will discuss symptoms and life events to diagnose any of these conditions. They may also perform a psychological evaluation to determine which category the symptoms fall into.
It may be necessary to rule out physiological conditions that share similar symptoms.
To do this, a doctor may perform:
- a physical examination
- blood tests
- heart tests, such as an EKG
### Mental health resources
Visit [our dedicated hub](https://www.medicalnewstoday.com/mental-health) for more research-backed information and resources on mental health and well-being.
## [Home remedies]()
The [Anxiety and Depression Association of America](https://adaa.org/tips-manage-anxiety-and-stress) recommends the following home remedies for [stress](https://www.medicalnewstoday.com/articles/145855.php "Why stress happens and how to manage it") and anxiety:
- manage or reduce stressors
- [limit alcohol](https://www.medicalnewstoday.com/articles/265799) and caffeine intake
- eat a healthy and [balanced diet](https://www.medicalnewstoday.com/articles/324093)
- [sleep](https://www.medicalnewstoday.com/articles/sleep-calculator) for 8 hours a night
- practice meditation, [yoga](https://www.medicalnewstoday.com/articles/286745.php "How does yoga work?"), or deep breathing
- build a support network
### During a panic or anxiety attack
The following strategies can help during an attack:
- **Acknowledgment:** The symptoms of a panic or anxiety attack can be extremely frightening. Acknowledging the situation and remembering that symptoms will soon pass can reduce anxiety and fear.
- **Breathing techniques:** Difficulty breathing is among the most common and alarming symptoms of these attacks. Learning techniques to control breathing can help during an attack.
- **Relaxation techniques:** Methods of relaxation, such as progressive muscle relaxation and [guided imagery](https://www.medicalnewstoday.com/articles/guided-imagery), can reduce feelings of panic and anxiety.
- **Mindfulness:** Mindfulness helps people stay grounded in the present moment. It can be especially beneficial for people with anxiety, who tend to worry about perceived and potential stressors.
## [Medical treatments]()
Medical professionals will assess a person’s symptoms and plan treatment accordingly. This will typically center on therapy, medication, or a combination of the two.
### Therapy
Engaging in interpersonal [therapy sessions](https://www.medicalnewstoday.com/articles/types-of-therapy) can help identify triggers and manage symptoms. Therapy also aims to help people accept the past and work toward the future. These sessions can take place in person or remotely.
Cognitive behavioral therapy (CBT) is a [common treatment](https://www.aafp.org/afp/2015/0501/p617.html) for GAD and panic disorder. CBT focuses on a person’s behavioral responses to specific events or stressors. Therapists will work with their patients to establish new behavioral habits and techniques for responding to stressors.
[Learn more about CBT and its applications here](https://www.medicalnewstoday.com/articles/296579).
### Medication
Medication can reduce symptoms in people with severe anxiety and panic disorders. Doctors may recommend medications as a stand-alone treatment or alongside psychotherapy.
A doctor [may prescribe](https://www.nhs.uk/mental-health/conditions/generalised-anxiety-disorder/treatment/):
- **Selective serotonin reuptake inhibitors (SSRIs):** This is a [type of antidepressant](https://www.medicalnewstoday.com/articles/ssri-vs-snri) that increases serotonin levels in the brain.
- **Serotonin and noradrenaline reuptake inhibitors (SNRIs):** This is another antidepressant medication. It works by increasing levels of serotonin and noradrenaline in the brain.
- **Pregabalin:** If antidepressants do not work, a doctor may prescribe [pregabalin](https://www.medicalnewstoday.com/articles/322429), an anticonvulsant. Doctors typically prescribe this to [reduce seizure](https://www.nhs.uk/medicines/pregabalin/) frequency and severity in [epilepsy](http://www.medicalnewstoday.com/articles/8947). However, it can help to reduce symptoms of anxiety.
- **Benzodiazepines:** Doctors may prescribe [benzodiazepines](https://www.medicalnewstoday.com/articles/262809) as a short-term treatment for severe anxiety. This medication is a sedative and is not safe for long-term use.
In 2020, the [Food and Drug Administration (FDA)](https://www.fda.gov/drugs/drug-safety-and-availability/fda-requiring-boxed-warning-updated-improve-safe-use-benzodiazepine-drug-class) warned that benzodiazepine use can lead to physical dependence, and withdrawal can be life threatening. Combining these drugs with alcohol, opioids, and other substances can result in death. It is essential to follow the doctor’s instructions when using these and other antianxiety drugs.
[Learn more about the different types of anxiety medications here](https://www.medicalnewstoday.com/articles/323666).
## [Takeaway]()
Panic and anxiety attacks are different, but they share some symptoms.
Anxiety attacks often follow periods of prolonged worry. Panic attacks tend to occur suddenly, and the symptoms are often more intense.
Panic and anxiety can be distressing and disruptive, but self-help strategies can reduce the intensity of symptoms. Therapy and medication can prevent or reduce the number of future episodes.
The sooner a person seeks help, the better the outcome.
- [Mental Health](https://www.medicalnewstoday.com/categories/mental-health)
- [Anxiety / Stress](https://www.medicalnewstoday.com/categories/anxiety)
### How we reviewed this article:
Sources
Medical News Today 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.medicalnewstoday.com/articles/process).
- 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>
- Growing up LGBT+: The impact of home, school, and coronavirus on LGBT+ young people. (2021).
<https://1ef4ff9d-11bc-45cf-a0f9-d322bf989285.usrfiles.com/ugd/1ef4ff_d13c189a6588438ca1c131395992edc8.pdf>
- Kupfer, D. J. (2015). Anxiety and DSM-5.
<https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610609/>
- Locke, A. B., *et al*. (2015). Diagnosis and management of generalized anxiety disorder and panic disorder in adults.
<https://www.aafp.org/afp/2015/0501/p617.html>
- Overview — generalised anxiety disorder in adults. (2018).
<https://www.nhs.uk/mental-health/conditions/generalised-anxiety-disorder/overview/>
- Panic disorder. (2020).
<https://www.nhs.uk/mental-health/conditions/panic-disorder/>
- Panic disorder: When fear overwhelms. (2022).
<https://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms>
- Pregabalin. (2021).
<https://www.nhs.uk/medicines/pregabalin/>
- Rice, C. E., *et al*. (2019). Sexual minority health disparities: An examination of age-related trends across adulthood in a national cross-sectional sample.
<https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6606453/>
- Symptoms: Generalized anxiety disorder. (2021).
<https://adaa.org/understanding-anxiety/generalized-anxiety-disorder-gad/symptoms>
- Tips to manage anxiety and stress. (2021).
<https://adaa.org/tips-manage-anxiety-and-stress>
- Women and anxiety. (2021).
<https://adaa.org/find-help-for/women/anxiety>
Share this article

[Medically reviewed]() by [Vara Saripalli, Psy.D.]() — Written by [Jayne Leonard]() — [Updated on October 13, 2023]()
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 |
| Readable Markdown | People often use the terms panic attack and anxiety attack interchangeably, but they are not the same. These types of attacks have different intensities and durations.
In this article, we detail the differences between panic and anxiety attacks.
Because the symptoms are so similar, it can be difficult to distinguish between panic and [anxiety attacks](https://www.medicalnewstoday.com/articles/307863).
Here are some tips that can help:
| Panic attacks | Anxiety attacks |
|---|---|
| Typically occur with a trigger but can occur without one. | A response to a perceived stressor or threat. |
| Symptoms typically appear suddenly. | Feelings of anxiety may build gradually over time. |
| Symptoms are disruptive and may involve a sense of detachment. | Symptoms can vary in intensity from mild to severe. |
| Typically subside after a few minutes. | Symptoms may prevail for longer periods. |
Anxiety and panic attacks have different symptoms.
Panic attack symptoms
Panic attacks come on suddenly and can occur with or without an identifiable trigger.
- a rapid [heart rate](https://www.medicalnewstoday.com/articles/235710)
- [chest pain](https://www.medicalnewstoday.com/articles/321650)
- [dizziness](https://www.medicalnewstoday.com/articles/319026) or [lightheadedness](https://www.medicalnewstoday.com/articles/323717)
- [hot flashes](https://www.medicalnewstoday.com/articles/hot-flash-causes) or [chills](https://www.medicalnewstoday.com/articles/chills)
- [nausea](https://www.medicalnewstoday.com/articles/269511)
- [numbness or tingling](https://www.medicalnewstoday.com/articles/326062) in the extremities
- [shaking](https://www.medicalnewstoday.com/articles/322195)
- [shortness of breath](https://www.medicalnewstoday.com/articles/314963)
- [stomach pain](https://www.medicalnewstoday.com/articles/318286)
- sweating
People experiencing a panic attack may also:
- feel a loss of control
- have a sudden fear that they will die
- feel detached from themselves or their surroundings
However, several panic attacks can occur in a row, making it seem like an attack lasts much longer. After an attack, many people feel stressed, worried, or otherwise unusual for the rest of the day.
Anxiety attack symptoms
While panic attacks come on suddenly, [anxiety symptoms](https://www.medicalnewstoday.com/articles/322510) follow a period of excessive worry.
Anxiety symptoms may become more pronounced over a few minutes or hours. They are typically less intense than those of panic attacks.
- nervousness
- [irritability](https://www.medicalnewstoday.com/articles/325564)
- [increased heart rate](https://www.medicalnewstoday.com/articles/anxiety-with-heart-palpitations)
- rapid breathing
- [trembling](https://www.medicalnewstoday.com/articles/anxiety-shaking)
- sweating
- a sense of impending danger
- [difficulty concentrating](https://www.medicalnewstoday.com/articles/320111)
- sleep disturbances
Anxiety symptoms often last longer than the symptoms of a panic attack. They may persist for days, weeks, or months.
Visit our dedicated anxiety hub [here](https://www.medicalnewstoday.com/anxiety).
The exact causes of anxiety and panic disorders are unclear. People [likely develop](https://www.nhs.uk/mental-health/conditions/generalised-anxiety-disorder/overview/) these disorders due to a combination of genetic, medical, and external factors.
People may experience panic or anxiety attacks due to predictable or unpredictable threats. These threats may be real or perceived.
A person may experience anxiety or panic attacks due to:
- environmental stressors
- [withdrawal from alcohol](https://www.medicalnewstoday.com/articles/322373) or drugs
- chronic conditions or [chronic pain](https://www.medicalnewstoday.com/articles/145750)
- medication side effects
- [phobias](https://www.medicalnewstoday.com/articles/249347.php "Everything you need to know about phobias") (excessive fears of objects or situations)
- exposure to trauma triggers
- overuse of stimulants such as [caffeine](https://www.medicalnewstoday.com/articles/anxiety-and-caffeine)
People are more likely to experience panic attacks if they have:
- personal or family history of panic attacks
- other mental health issues, such as [depression](https://www.medicalnewstoday.com/articles/8933), [bipolar disorder](https://www.medicalnewstoday.com/articles/37010.php "What should you know about bipolar disorder"), or an anxiety disorder
- a chronic medical condition, such as a thyroid disorder, [diabetes](https://www.medicalnewstoday.com/articles/323627), or [heart disease](https://www.medicalnewstoday.com/articles/237191.php "Everything you need to know about heart disease")
- issues with alcohol or drug use
- life stressors
- stressful events
- past trauma
[A 2019 study](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6606453/) found that sexual minorities are more likely to experience [GAD](https://www.medicalnewstoday.com/articles/326416), although the prevalence varied by age group. Researchers classified any person that endorsed same-sex attraction, same-sex behavior, or identified as non-heterosexual as a sexual minority.
Other studies found that LGBT+ young people are [twice as likely](https://1ef4ff9d-11bc-45cf-a0f9-d322bf989285.usrfiles.com/ugd/1ef4ff_d13c189a6588438ca1c131395992edc8.pdf) to experience anxiety or panic attacks as their peers.
Women are also [twice as likely](https://adaa.org/find-help-for/women/anxiety) to develop an anxiety disorder as men.
A doctor or mental health professional can diagnose a panic attack, panic disorder, or anxiety disorder.
They [base their diagnoses](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610609/) on definitions in the *Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition* (*DSM-5*).
These professionals cannot diagnose an anxiety attack because it is not a clinically defined condition in the *DSM-5*. They can, however, recognize the symptoms of anxiety and [diagnose an anxiety disorder](https://www.aafp.org/afp/2015/0501/p617.html).
A doctor will discuss symptoms and life events to diagnose any of these conditions. They may also perform a psychological evaluation to determine which category the symptoms fall into.
It may be necessary to rule out physiological conditions that share similar symptoms.
To do this, a doctor may perform:
- a physical examination
- blood tests
- heart tests, such as an EKG
- manage or reduce stressors
- [limit alcohol](https://www.medicalnewstoday.com/articles/265799) and caffeine intake
- eat a healthy and [balanced diet](https://www.medicalnewstoday.com/articles/324093)
- [sleep](https://www.medicalnewstoday.com/articles/sleep-calculator) for 8 hours a night
- practice meditation, [yoga](https://www.medicalnewstoday.com/articles/286745.php "How does yoga work?"), or deep breathing
- build a support network
During a panic or anxiety attack
The following strategies can help during an attack:
- **Acknowledgment:** The symptoms of a panic or anxiety attack can be extremely frightening. Acknowledging the situation and remembering that symptoms will soon pass can reduce anxiety and fear.
- **Breathing techniques:** Difficulty breathing is among the most common and alarming symptoms of these attacks. Learning techniques to control breathing can help during an attack.
- **Relaxation techniques:** Methods of relaxation, such as progressive muscle relaxation and [guided imagery](https://www.medicalnewstoday.com/articles/guided-imagery), can reduce feelings of panic and anxiety.
- **Mindfulness:** Mindfulness helps people stay grounded in the present moment. It can be especially beneficial for people with anxiety, who tend to worry about perceived and potential stressors.
Medical professionals will assess a person’s symptoms and plan treatment accordingly. This will typically center on therapy, medication, or a combination of the two.
Therapy
Engaging in interpersonal [therapy sessions](https://www.medicalnewstoday.com/articles/types-of-therapy) can help identify triggers and manage symptoms. Therapy also aims to help people accept the past and work toward the future. These sessions can take place in person or remotely.
Cognitive behavioral therapy (CBT) is a [common treatment](https://www.aafp.org/afp/2015/0501/p617.html) for GAD and panic disorder. CBT focuses on a person’s behavioral responses to specific events or stressors. Therapists will work with their patients to establish new behavioral habits and techniques for responding to stressors.
Medication
Medication can reduce symptoms in people with severe anxiety and panic disorders. Doctors may recommend medications as a stand-alone treatment or alongside psychotherapy.
- **Selective serotonin reuptake inhibitors (SSRIs):** This is a [type of antidepressant](https://www.medicalnewstoday.com/articles/ssri-vs-snri) that increases serotonin levels in the brain.
- **Serotonin and noradrenaline reuptake inhibitors (SNRIs):** This is another antidepressant medication. It works by increasing levels of serotonin and noradrenaline in the brain.
- **Pregabalin:** If antidepressants do not work, a doctor may prescribe [pregabalin](https://www.medicalnewstoday.com/articles/322429), an anticonvulsant. Doctors typically prescribe this to [reduce seizure](https://www.nhs.uk/medicines/pregabalin/) frequency and severity in [epilepsy](http://www.medicalnewstoday.com/articles/8947). However, it can help to reduce symptoms of anxiety.
- **Benzodiazepines:** Doctors may prescribe [benzodiazepines](https://www.medicalnewstoday.com/articles/262809) as a short-term treatment for severe anxiety. This medication is a sedative and is not safe for long-term use.
In 2020, the [Food and Drug Administration (FDA)](https://www.fda.gov/drugs/drug-safety-and-availability/fda-requiring-boxed-warning-updated-improve-safe-use-benzodiazepine-drug-class) warned that benzodiazepine use can lead to physical dependence, and withdrawal can be life threatening. Combining these drugs with alcohol, opioids, and other substances can result in death. It is essential to follow the doctor’s instructions when using these and other antianxiety drugs.
Panic and anxiety attacks are different, but they share some symptoms.
Anxiety attacks often follow periods of prolonged worry. Panic attacks tend to occur suddenly, and the symptoms are often more intense.
Panic and anxiety can be distressing and disruptive, but self-help strategies can reduce the intensity of symptoms. Therapy and medication can prevent or reduce the number of future episodes.
The sooner a person seeks help, the better the outcome. |
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