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1. Shard Calculation

Query:

Response:

Calculated Shard: 98 (from laksa060)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa098.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://www.michiganmedicine.org/health-lab/panic-attack-vs-anxiety-attack-6-things-know\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.michiganmedicine.org/health-lab/panic-attack-vs-anxiety-attack-6-things-know\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.michiganmedicine.org\/health-lab\/panic-attack-vs-anxiety-attack-6-things-know","crawl_time":1775910668,"first_indexed_time":1674887530,"http_code":200,"src_unparsed":"org,michiganmedicine!www,\/health-lab\/panic-attack-vs-anxiety-attack-6-things-know s443","src_root_hash":"10189133355254079098","history_drop_reason":null,"meta_title":"Anxiety Attack vs Panic Attack: Difference Between Anxiety and Panic Attacks","meta_descriptions":["Anxiety attacks and panic attacks are not the same thing, despite often being referred to interchangeably. Read on to learn how to tell the difference."],"attrs_boilerpipe_text":"This article was updated on June 27, 2023.\nWhen you feel a sudden rush of\nnerves or high emotion\n, it's likely that your body responds in turn. Sweating, shakiness or feelings of nausea, among other things, might occur.\nMORE FROM MICHIGAN: Sign up for our weekly newsletter\nSuch discomfort, particularly if the sensations are new, could prompt a person to ask:\nAm I experiencing a panic attack\n? Or is it an anxiety attack?\nBut that's not quite the right question. It's likely you're experiencing either anxiety or a panic attack.\n\"They're very different emotional conditions,\" said Ricks Warren, Ph.D., a clinical professor of psychiatry at the University of Michigan.\nAnxiety is a condition defined as excessive, persisting, difficult to control worries over an imminent event such as death or illness, or even minor events such as being late for an appointment or other uncertain outcomes. Symptoms include fatigue, hypervigilance, restlessness and irritability — and are often chronic.\nPanic attacks, on the other hand, are short bursts of intense fear often marked by increased heart rate, chest pain, lightheadedness or shortness of breath. Typically lasting fewer than 30 minutes, they could occur once or repeatedly — sometimes without apparent reason. These episodes can send patients to the emergency room, as they are sometimes\nmistaken for a heart attack\n.\nWarren explains more below.\nWhat is the difference between a panic attack and anxiety?\nWarren:\nAnxiety is basically what we experience when we are worrying about some future event — anticipating a bad outcome that might happen. It's often involved with muscle tension and a general feeling of uneasiness. And it usually comes on gradually.\nA panic attack is different. It's associated with a very abrupt onset of intense fear because of a sense of threat happening\nright now\n, the fight-or-flight response that we're hardwired to have in order to deal with the perception of immediate danger. It sets off that alarm.\nSEE ALSO: How Diet Influences Mood and Mental Health\nWhen might one or the other occur?\nWarren:\nSo if you're walking down a dark alley, you are probably thinking that there could be potential danger; that anxiety of anticipation, the feeling in your stomach, the elevated heart rate. But if you're walking down that alley and somebody jumps out with a knife, then you're likely to have a panic attack — an overwhelming urge to escape a situation that is dangerous.\nPanic attacks also can be triggered by subtler cues, like certain bodily sensations. A person could have a pain in the chest and interpret that as a heart attack. Or they feel lightheaded and think they're going to pass out or are having a stroke.\nHow do our bodies decide which reaction is appropriate?\nWarren:\nBiologically, panic attacks are associated with the autonomic nervous system and the amygdala — places designed to detect threat and danger. And anxiety is associated with the prefrontal cortex, which has to do with planning and anticipating.\nCould both conditions occur at once?\nWarren:\nYes. A person might be really anxious about going to a party. Sometimes, then, when they go into those situations, they'll have a panic attack on top of the anxiety because they perceive the situation as potentially dangerous psychologically:\nAre they going to judge me?\nAre certain individuals more susceptible? Which condition is more common?\nWarren:\nPeople are hardwired to experience both anxiety and panic attacks. Some are more prone to worry and anxiety because they have a very sensitive nervous system. If they grow up with others who are worriers, they can learn to worry.\nClinically, we probably see more patients dealing with anxiety than panic attacks. That's because anxiety is so much a part of people's normal emotional lives. They can feel anxious in a lot of different situations.\nHow do you help affected patients?\nWarren:\nWith anxiety to the point where it's part of a disorder — let's say generalized anxiety disorder, mostly characterized by anxiety and worry about a whole bunch of different situations — we would treat it by teaching a patient about the role of worry in creating the symptoms and how to manage the worry. That sometimes involves challenging unrealistic thoughts or working to increase one's ability to tolerate uncertainty, which is a big part of anxiety.\nFor the socially anxious, we usually come up with a hierarchy from the least- to most-scary types of situations and systemically get them to go out and test their fears of what might happen which is usually that they will be judged.\nWith panic attacks, we might show them a diagram and explain the fight-or-flight response; their mind or body is trying to help them. If you've had a panic attack that came out of the blue, you might become afraid of lightheadedness and avoid activities that spur adrenaline. So we might hyperventilate for a minute in a controlled way to get to the point where they're not afraid of their own bodily sensation. We work on internal avoidance of those cues that become scary, and desensitize them.\nIt doesn't mean a patient will never be anxious again, but there is good evidence that they can get over these conditions if they\nengage in evidence based treatment\n.","attrs_markdown":"Consent for Cookie Use\n\nWe use cookies to improve your experience on our websites. 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Weiser Food Allergy Center](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-mary-h-weiser-food-allergy-center)\n    - [Medical School Student Programs](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-medical-school-student-programs)\n    - [Michigan Alzheimer's Disease Center](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-michigan-alzheimers-disease-center)\n    - [Michigan Neuroscience Institute](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-michigan-neuroscience-institute)\n    - [Microbiology & Immunology](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-microbiology-immunology)\n    - [Molecular & Integrative Physiology](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-molecular-integrative-physiology)\n    - [Nathan and Catherine Forbes Sports Medicine Institute](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-nathan-and-catherine-forbes-sports-medicine-institute)\n    - [Neurology](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-neurology)\n    - [Neuroscience Graduate Program](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-neuroscience-graduate-program)\n    - [Neurosurgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-neurosurgery)\n    - [Nursing](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-nursing-michigan)\n    - [Obstetrics & Gynecology](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-obstetrics-gynecology)\n    - [Office of Graduate and Postdoctoral Studies](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-office-graduate-and-postdoctoral-studies)\n    - [Office of Patient Experience](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-office-patient-experience)\n    - [Ophthalmology and Visual Sciences](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-ophthalmology-and-visual-sciences)\n    - [Orthopaedic Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-orthopaedic-surgery)\n    - [Otolaryngology-Head and Neck Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-otolaryngology-head-and-neck-surgery)\n    - [Pathology](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-pathology)\n    - [Pediatrics](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-pediatrics)\n    - [Pharmacology](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-pharmacology)\n    - [Physical Medicine & Rehabilitation](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-physical-medicine-rehabilitation)\n    - [Psychiatry](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-psychiatry)\n    - [Radiation Oncology](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-radiation-oncology)\n    - [Radiology](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-radiology)\n    - [Social Work](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-social-work)\n    - [Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-surgery)\n      \n      - [General Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/surgery\/giving-general-surgery)\n      - [Oral and Maxillofacial Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/surgery\/giving-section-oral-and-maxillofacial-surgery)\n      - [Pediatric Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/surgery\/giving-section-pediatric-surgery)\n      - [Plastic Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/surgery\/giving-plastic-surgery)\n      - [Thoracic Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/surgery\/giving-thoracic-surgery)\n      - [Transplant Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/surgery\/giving-transplant-surgery)\n      - [Vascular Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/surgery\/giving-vascular-surgery)\n    - [Transplant Center](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-transplant-center)\n    - [Urology](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-urology)\n    - [Von Voigtlander Women's Hospital](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-von-voigtlander-womens-hospital)\n  - [Campaign](https:\/\/www.michiganmedicine.org\/giving\/look-to-michigan)\n  - [Ways to Give](https:\/\/www.michiganmedicine.org\/giving\/ways-give)\n    \n    - [Annual & Recurring Gifts](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/annual-and-recurring-gifts)\n    - [Corporate and Foundation Gifts](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/corporate-and-foundation-gifts)\n    - [Cryptocurrency](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/cryptocurrency)\n    - [Donor Advised Funds](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/donor-advised-funds)\n    - [Endowments](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/endowments)\n    - [Estate & Planned Gifts](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/estate-and-planned-gifts)\n    - [In-Kind Gifts](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/kind-gifts)\n      \n      - [In-Kind Gifts to C.S. Mott Children's Hospital](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/kind-gifts\/cs-mott-childrens-hospital-kind-giving)\n        \n        - [Giving Library](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/kind-gifts\/kind-gifts-cs-mott-childrens-hospital\/giving-library)\n        - [Mott Toy Store](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/kind-gifts\/kind-gifts-cs-mott-childrens-hospital\/mott-toy-store)\n        - [Toy and Safety Guidelines](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/kind-gifts\/cs-mott-childrens-hospital-kind-giving#toy-safety-guidelines)\n    - [Memorial or Tribute Gifts](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/memorial-or-tribute-gifts)\n    - [Stocks and Securities](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/stocks-and-securities)\n    - [Wire and ACH Payments](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/wire-and-ach-payments)\n  - [Get Involved](https:\/\/www.michiganmedicine.org\/giving\/giving-get-involved)\n  - [Fundraising Events](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events)\n    \n    - [Big Hearts for Seniors](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/big-hearts-seniors)\n      \n      - [Auction](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/big-hearts-seniors\/auction)\n      - [Committee](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/big-hearts-seniors\/big-hearts-seniors-committee)\n      - [Sponsors](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/big-hearts-seniors\/2026-sponsors)\n      - [Sponsorship Opportunities](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/big-hearts-seniors\/big-hearts-seniors-sponsorship-opportunities)\n    - [The Woodson Fund Events](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/woodson-fund-events)\n      \n      - [Event on Main](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/woodson-fund-events\/event-main)\n      - 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[Committee Members](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/mott-golf-classic\/committee-members)\n      - [Sponsorship Levels](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/mott-golf-classic\/sponsorship-levels)\n      - [2025 Sponsors](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/mott-golf-classic\/2025-sponsors)\n      - [Contact Information](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/mott-golf-classic\/contact-information)\n  - [About the Office of Development](https:\/\/www.michiganmedicine.org\/giving\/about-michigan-medicine-office-development)\n- [News & Stories](https:\/\/www.michiganmedicine.org\/news-and-stories-michigan-medicine)\n  \n  - [Health Lab](https:\/\/www.michiganmedicine.org\/health-lab)\n  - [Medicine at Michigan](https:\/\/www.michiganmedicine.org\/medicine-at-michigan)\n    \n    - [All Stories](https:\/\/www.michiganmedicine.org\/news-stories\/medicine-michigan\/medicine-michigan-all-stories)\n      \n      - [Alumni Stories](https:\/\/www.michiganmedicine.org\/news-stories\/medicine-michigan\/all-articles\/medicine-michigan-alumni-stories)\n      - [Faculty Stories](https:\/\/www.michiganmedicine.org\/medicine-at-michigan\/faculty-stories)\n      - [Featured Stories](https:\/\/www.michiganmedicine.org\/medicine-at-michigan\/featured-stories)\n      - [Student Stories](https:\/\/www.michiganmedicine.org\/news-stories\/medicine-michigan\/all-stories\/medicine-michigan-student-stories)\n    - [Past Issues](https:\/\/www.michiganmedicine.org\/medicine-at-michigan\/issue-list)\n  - [Michigan Answers](https:\/\/www.michiganmedicine.org\/michigan-answers)\n    \n    - [Share Your Michigan Answer](https:\/\/www.michiganmedicine.org\/news-stories\/michigan-answers\/share-your-michigan-answer)\n  - [Michigan Medicine Podcast Network](https:\/\/www.michiganmedicine.org\/podcasts)\n    \n    - [Breaking Down Mental Health](https:\/\/www.michiganmedicine.org\/breaking-down-mental-health)\n    - [Cancer Aware](https:\/\/www.michiganmedicine.org\/news-stories\/michigan-medicine-podcast-network\/cancer-aware)\n    - [Health Lab Podcast](https:\/\/www.michiganmedicine.org\/health-lab-podcast)\n    - [Michigan Answers](https:\/\/www.michiganmedicine.org\/michigan-answers-podcast)\n    - [Michigan Medicine Presents](https:\/\/www.michiganmedicine.org\/michigan-medicine-presents)\n    - [Michigan Medicine Surgery Sessions](https:\/\/www.michiganmedicine.org\/michigan-surgery-sessions)\n    - [Minding Memory](https:\/\/www.michiganmedicine.org\/minding-memory)\n    - [The Fundamentals](https:\/\/www.michiganmedicine.org\/news-stories\/michigan-medicine-podcast-network\/fundamentals)\n    - [Well-Being at Michigan Medicine](https:\/\/www.michiganmedicine.org\/well-being-michigan-medicine)\n  - [Press Room](https:\/\/www.michiganmedicine.org\/news-stories\/michigan-medicine-press-room)\n    \n    - [Clips for Broadcast Media](https:\/\/www.michiganmedicine.org\/news-stories\/press-room\/clips-broadcast-media)\n    - [Contact the Media Team](https:\/\/www.michiganmedicine.org\/news-stories\/press-room\/contact-media-team)\n    - [Patient Privacy and HIPAA](https:\/\/www.michiganmedicine.org\/news-stories\/press-room\/patient-privacy-and-hipaa)\n    - [Research News](https:\/\/www.michiganmedicine.org\/news-stories\/press-room\/research-news)\n\n# Panic attack vs. anxiety attack: 6 things to know\nFeelings of fear, dread or unease can be paralyzing. Identifying your symptoms — and knowing help is available — is key to recovery\n\nJanuary 11, 2017 7:00 AM\n\nAuthor \\| [Kevin Joy](https:\/\/www.michiganmedicine.org\/author\/kevin-joy)\n\n![Am I having an anxiety attack or a panic attack?](https:\/\/www.michiganmedicine.org\/sites\/default\/files\/styles\/article_main_image\/public\/blog\/UMH_C_PanicAnxiety%25402x.jpg?h=8f967d64&itok=TkAkJFi5)\n\n***This article was updated on June 27, 2023.***\n\nWhen you feel a sudden rush of [nerves or high emotion](https:\/\/healthblog.uofmhealth.org\/health-management\/whats-difference-between-nerves-and-anxiety), it's likely that your body responds in turn. Sweating, shakiness or feelings of nausea, among other things, might occur.\n\n***[MORE FROM MICHIGAN: Sign up for our weekly newsletter](http:\/\/healthblog.uofmhealth.org\/newsletter)***\n\nSuch discomfort, particularly if the sensations are new, could prompt a person to ask: [Am I experiencing a panic attack](https:\/\/healthblog.uofmhealth.org\/wellness-prevention\/anxiety-and-panic-attack-symptoms-treatments-perfcon)? Or is it an anxiety attack?\n\nBut that's not quite the right question. It's likely you're experiencing either anxiety or a panic attack.\n\n\"They're very different emotional conditions,\" said Ricks Warren, Ph.D., a clinical professor of psychiatry at the University of Michigan.\n\nAnxiety is a condition defined as excessive, persisting, difficult to control worries over an imminent event such as death or illness, or even minor events such as being late for an appointment or other uncertain outcomes. Symptoms include fatigue, hypervigilance, restlessness and irritability — and are often chronic.\n\nPanic attacks, on the other hand, are short bursts of intense fear often marked by increased heart rate, chest pain, lightheadedness or shortness of breath. Typically lasting fewer than 30 minutes, they could occur once or repeatedly — sometimes without apparent reason. These episodes can send patients to the emergency room, as they are sometimes [mistaken for a heart attack](http:\/\/healthblog.uofmhealth.org\/heart-health\/how-to-tell-difference-between-a-heart-attack-and-a-panic-attack).\n\nWarren explains more below.\n\n#### **What is the difference between a panic attack and anxiety?**\n*Warren:* Anxiety is basically what we experience when we are worrying about some future event — anticipating a bad outcome that might happen. It's often involved with muscle tension and a general feeling of uneasiness. And it usually comes on gradually.\n\nA panic attack is different. It's associated with a very abrupt onset of intense fear because of a sense of threat happening *right now*, the fight-or-flight response that we're hardwired to have in order to deal with the perception of immediate danger. It sets off that alarm.\n\n***[SEE ALSO: How Diet Influences Mood and Mental Health](http:\/\/healthblog.uofmhealth.org\/lifestyle\/how-diet-influences-mood-and-mental-health)***\n\n#### **When might one or the other occur?**\n*Warren:* So if you're walking down a dark alley, you are probably thinking that there could be potential danger; that anxiety of anticipation, the feeling in your stomach, the elevated heart rate. But if you're walking down that alley and somebody jumps out with a knife, then you're likely to have a panic attack — an overwhelming urge to escape a situation that is dangerous.\n\nPanic attacks also can be triggered by subtler cues, like certain bodily sensations. A person could have a pain in the chest and interpret that as a heart attack. Or they feel lightheaded and think they're going to pass out or are having a stroke.\n\n#### **How do our bodies decide which reaction is appropriate?**\n*Warren:* Biologically, panic attacks are associated with the autonomic nervous system and the amygdala — places designed to detect threat and danger. And anxiety is associated with the prefrontal cortex, which has to do with planning and anticipating.\n\n#### **Could both conditions occur at once?**\n*Warren:* Yes. A person might be really anxious about going to a party. Sometimes, then, when they go into those situations, they'll have a panic attack on top of the anxiety because they perceive the situation as potentially dangerous psychologically: *Are they going to judge me?*\n\n#### **Are certain individuals more susceptible? Which condition is more common?**\n*Warren:* People are hardwired to experience both anxiety and panic attacks. Some are more prone to worry and anxiety because they have a very sensitive nervous system. If they grow up with others who are worriers, they can learn to worry.\n\nClinically, we probably see more patients dealing with anxiety than panic attacks. That's because anxiety is so much a part of people's normal emotional lives. They can feel anxious in a lot of different situations.\n\n#### **How do you help affected patients?**\n*Warren:* With anxiety to the point where it's part of a disorder — let's say generalized anxiety disorder, mostly characterized by anxiety and worry about a whole bunch of different situations — we would treat it by teaching a patient about the role of worry in creating the symptoms and how to manage the worry. That sometimes involves challenging unrealistic thoughts or working to increase one's ability to tolerate uncertainty, which is a big part of anxiety.\n\nFor the socially anxious, we usually come up with a hierarchy from the least- to most-scary types of situations and systemically get them to go out and test their fears of what might happen which is usually that they will be judged.\n\nWith panic attacks, we might show them a diagram and explain the fight-or-flight response; their mind or body is trying to help them. If you've had a panic attack that came out of the blue, you might become afraid of lightheadedness and avoid activities that spur adrenaline. So we might hyperventilate for a minute in a controlled way to get to the point where they're not afraid of their own bodily sensation. We work on internal avoidance of those cues that become scary, and desensitize them.\n\nIt doesn't mean a patient will never be anxious again, but there is good evidence that they can get over these conditions if they [engage in evidence based treatment](https:\/\/healthblog.uofmhealth.org\/wellness-prevention\/3-easy-exercises-for-anxiety-relief-you-can-use-anywhere).\n\n***\n## More Articles About:\nPreventative health and wellness\n\nanxiety\n\nMental Health Assessment\n\nPanic Attacks\n\nMental Health\n\n![Health Lab word mark overlaying blue cells](https:\/\/www.michiganmedicine.org\/sites\/default\/files\/styles\/article_sidebar\/public\/2026-03\/HL%20Article%20Tag.jpg?h=0afd8502&itok=VtvrqoOD)\n\n## Health Lab\nExplore a variety of health care news & stories by visiting the Health Lab home page for more articles.\n\n### Media Contact\n![](https:\/\/www.michiganmedicine.org\/sites\/default\/files\/2022-10\/u-hospital-spring_large_1130x635.jpg)\n\n### Public Relations\nDepartment of Communication at Michigan Medicine\n\n[MichmedMedia@med.umich.edu](mailto:MichmedMedia@med.umich.edu)\n\n[734-764-2220](tel:734-764-2220)\n\n## Stay Informed\nWant top health & research news weekly? Sign up for Health Lab’s newsletters today\\!\n\nSubscribe\n\nSubscribe\n\n## Featured News & Stories\n![Minding memory above a microphone on a blue background](https:\/\/www.michiganmedicine.org\/sites\/default\/files\/styles\/card\/public\/2023-06\/mm_networkpage.jpg?h=51c0859a&itok=W6-1uQXk)\n\nMinding Memory\n\n### Convoys of Caregiving: Arab American Families Living with Dementia\nIn this episode, Matt & Lauren speak with Kristine Ajrouch, PhD - a new member of our CAPRA leadership team. Kristine is a Research Professor at the Institute for Social Research whose work focuses on aging, health, immigration and family in the United Statues and the Middle East; social networks over the life course; and Arab American identity and well-being. Kristine discusses a recent article that examined an intervention to improve outcomes among Arab American caregivers who provide care to a family member living with dementia. She also shares what this work teaches us about caregiving as a family system rather than the responsibility of a single individual.\n\n![teacher with students at table looking at laptop in library ](https:\/\/www.michiganmedicine.org\/sites\/default\/files\/styles\/card\/public\/2026-03\/teacher-mentor-students-library-studying.jpg?h=f0fb51a5&itok=Zmgn4E7S)\n\nHealth Lab\n\n### What’s the equivalent of a wheelchair for a person with schizophrenia?\nThree experts, including a Michigan Medicine physician, talks about what psychiatric rehabilitation looks like in the community and for patients.\n\n![Teen girl sitting on floor next to her bed looking at a smartphone, with icons from social media apps layered over her as she frowns](https:\/\/www.michiganmedicine.org\/sites\/default\/files\/styles\/card\/public\/2026-03\/teen_girl_social_media_icons_copy.jpg?h=f0fb51a5&itok=W7UxWdc0)\n\nHealth Lab\n\n### How to improve mental health safety on social media – not just for young people\nWith social media companies losing or settling court cases about their products' impact on young peoples' mental health, experts offer tips for reducing impacts for those who use the platforms.\n\n![Minding Memory with a microphone and a shadow of a microphone on a blue background](https:\/\/www.michiganmedicine.org\/sites\/default\/files\/styles\/card\/public\/2023-05\/MEM_900x1200.jpg?h=9b0ae1d9&itok=IPCQhXyT)\n\nMinding Memory\n\n### Neighborhood Income and Cognitive Health\nWelcome back to Minding Memory! In today’s episode, Lauren & Matt speak with Dr. Laura Zahodne – a professor of psychology at the University of Michigan and an affiliate of the Institute for Social Research. She's a clinical neuropsychologist by training and studies how psychosocial experiences shape late life, cognitive health, and risk of neurodegenerative disease. Also, a new member of our CAPRA leadership team! In this episode, we’ll get to know Laura a little better and talk with her about one of her research studies, the Neighborhood Racial Income Inequality in Cognitive Health, which looks at the association between racial income differences and a variety of cognitive measures.\n\n![kids hugging legs with jeans on green light blue striped shirt white sneakers next to person with green shirt writing on white notepad](https:\/\/www.michiganmedicine.org\/sites\/default\/files\/styles\/card\/public\/2026-03\/child-couch-therapy-session-clipboard-.jpg?h=f0fb51a5&itok=HcnKp0Pp)\n\nHealth Lab\n\n### A new way to close the pediatric mental health gap\nInnovative model successfully improves access to pediatric psychiatric health care, while training future pediatricians to manage common mental health conditions, new data suggests.\n\n![](https:\/\/www.michiganmedicine.org\/sites\/default\/files\/styles\/card\/public\/oembed_thumbnails\/VUmAEueDYqU8SpmpoMGQnaeBDvIk2rEBb6zE8sP92Ug.jpg?h=144d094f&itok=6BDbi3TG)\n\nHealth Lab\n\n### Complex connections among bipolar disorder, substance use and suicide\nDiscover how bipolar disorder, substance use and suicide risk intersect. 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It’s never been easier to make an impact.\n\nMake a Gift\n\nAccelerate your career. Advance world health.\n\nCareers at Michigan Medicine\n\nReport Sexual Misconduct, Discrimination and Harassment\n\n## Global Footer Secondary Navigation\n© Copyright 1995-2026 Regents of the University of Michigan\n\nAccessibility Statement\n\nCommunication Preferences\n\nDisclaimer\n\nInternet Privacy\n\nPatient Privacy\n\nU-M Non-Discrimination\n\nDepartment of Communication\n\nHealth Information Technology & Services\n\nMichigan Medicine Finance\n\n[Jump back to top](https:\/\/www.michiganmedicine.org\/health-lab\/panic-attack-vs-anxiety-attack-6-things-know#main-content)\n\n✓\n\nThanks for sharing\\!\n\n[AddToAny](https:\/\/www.addtoany.com\/ \"Share Buttons\")\n\n[More…](https:\/\/www.michiganmedicine.org\/health-lab\/panic-attack-vs-anxiety-attack-6-things-know#addtoany \"Show all\")","attrs_readable_markdown":"***This article was updated on June 27, 2023.***\n\nWhen you feel a sudden rush of [nerves or high emotion](https:\/\/healthblog.uofmhealth.org\/health-management\/whats-difference-between-nerves-and-anxiety), it's likely that your body responds in turn. Sweating, shakiness or feelings of nausea, among other things, might occur.\n\n***[MORE FROM MICHIGAN: Sign up for our weekly newsletter](http:\/\/healthblog.uofmhealth.org\/newsletter)***\n\nSuch discomfort, particularly if the sensations are new, could prompt a person to ask: [Am I experiencing a panic attack](https:\/\/healthblog.uofmhealth.org\/wellness-prevention\/anxiety-and-panic-attack-symptoms-treatments-perfcon)? Or is it an anxiety attack?\n\nBut that's not quite the right question. It's likely you're experiencing either anxiety or a panic attack.\n\n\"They're very different emotional conditions,\" said Ricks Warren, Ph.D., a clinical professor of psychiatry at the University of Michigan.\n\nAnxiety is a condition defined as excessive, persisting, difficult to control worries over an imminent event such as death or illness, or even minor events such as being late for an appointment or other uncertain outcomes. Symptoms include fatigue, hypervigilance, restlessness and irritability — and are often chronic.\n\nPanic attacks, on the other hand, are short bursts of intense fear often marked by increased heart rate, chest pain, lightheadedness or shortness of breath. Typically lasting fewer than 30 minutes, they could occur once or repeatedly — sometimes without apparent reason. These episodes can send patients to the emergency room, as they are sometimes [mistaken for a heart attack](http:\/\/healthblog.uofmhealth.org\/heart-health\/how-to-tell-difference-between-a-heart-attack-and-a-panic-attack).\n\nWarren explains more below.\n\n#### **What is the difference between a panic attack and anxiety?**\n*Warren:* Anxiety is basically what we experience when we are worrying about some future event — anticipating a bad outcome that might happen. It's often involved with muscle tension and a general feeling of uneasiness. And it usually comes on gradually.\n\nA panic attack is different. It's associated with a very abrupt onset of intense fear because of a sense of threat happening *right now*, the fight-or-flight response that we're hardwired to have in order to deal with the perception of immediate danger. It sets off that alarm.\n\n***[SEE ALSO: How Diet Influences Mood and Mental Health](http:\/\/healthblog.uofmhealth.org\/lifestyle\/how-diet-influences-mood-and-mental-health)***\n\n#### **When might one or the other occur?**\n*Warren:* So if you're walking down a dark alley, you are probably thinking that there could be potential danger; that anxiety of anticipation, the feeling in your stomach, the elevated heart rate. But if you're walking down that alley and somebody jumps out with a knife, then you're likely to have a panic attack — an overwhelming urge to escape a situation that is dangerous.\n\nPanic attacks also can be triggered by subtler cues, like certain bodily sensations. A person could have a pain in the chest and interpret that as a heart attack. Or they feel lightheaded and think they're going to pass out or are having a stroke.\n\n#### **How do our bodies decide which reaction is appropriate?**\n*Warren:* Biologically, panic attacks are associated with the autonomic nervous system and the amygdala — places designed to detect threat and danger. And anxiety is associated with the prefrontal cortex, which has to do with planning and anticipating.\n\n#### **Could both conditions occur at once?**\n*Warren:* Yes. A person might be really anxious about going to a party. Sometimes, then, when they go into those situations, they'll have a panic attack on top of the anxiety because they perceive the situation as potentially dangerous psychologically: *Are they going to judge me?*\n\n#### **Are certain individuals more susceptible? Which condition is more common?**\n*Warren:* People are hardwired to experience both anxiety and panic attacks. Some are more prone to worry and anxiety because they have a very sensitive nervous system. If they grow up with others who are worriers, they can learn to worry.\n\nClinically, we probably see more patients dealing with anxiety than panic attacks. That's because anxiety is so much a part of people's normal emotional lives. They can feel anxious in a lot of different situations.\n\n#### **How do you help affected patients?**\n*Warren:* With anxiety to the point where it's part of a disorder — let's say generalized anxiety disorder, mostly characterized by anxiety and worry about a whole bunch of different situations — we would treat it by teaching a patient about the role of worry in creating the symptoms and how to manage the worry. That sometimes involves challenging unrealistic thoughts or working to increase one's ability to tolerate uncertainty, which is a big part of anxiety.\n\nFor the socially anxious, we usually come up with a hierarchy from the least- to most-scary types of situations and systemically get them to go out and test their fears of what might happen which is usually that they will be judged.\n\nWith panic attacks, we might show them a diagram and explain the fight-or-flight response; their mind or body is trying to help them. If you've had a panic attack that came out of the blue, you might become afraid of lightheadedness and avoid activities that spur adrenaline. So we might hyperventilate for a minute in a controlled way to get to the point where they're not afraid of their own bodily sensation. We work on internal avoidance of those cues that become scary, and desensitize them.\n\nIt doesn't mean a patient will never be anxious again, but there is good evidence that they can get over these conditions if they [engage in evidence based treatment](https:\/\/healthblog.uofmhealth.org\/wellness-prevention\/3-easy-exercises-for-anxiety-relief-you-can-use-anywhere).","meta_canonical":null}

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Meta Description	Anxiety attacks and panic attacks are not the same thing, despite often being referred to interchangeably. Read on to learn how to tell the difference.
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Boilerpipe Text	This article was updated on June 27, 2023. When you feel a sudden rush of nerves or high emotion , it's likely that your body responds in turn. Sweating, shakiness or feelings of nausea, among other things, might occur. MORE FROM MICHIGAN: Sign up for our weekly newsletter Such discomfort, particularly if the sensations are new, could prompt a person to ask: Am I experiencing a panic attack ? Or is it an anxiety attack? But that's not quite the right question. It's likely you're experiencing either anxiety or a panic attack. "They're very different emotional conditions," said Ricks Warren, Ph.D., a clinical professor of psychiatry at the University of Michigan. Anxiety is a condition defined as excessive, persisting, difficult to control worries over an imminent event such as death or illness, or even minor events such as being late for an appointment or other uncertain outcomes. Symptoms include fatigue, hypervigilance, restlessness and irritability — and are often chronic. Panic attacks, on the other hand, are short bursts of intense fear often marked by increased heart rate, chest pain, lightheadedness or shortness of breath. Typically lasting fewer than 30 minutes, they could occur once or repeatedly — sometimes without apparent reason. These episodes can send patients to the emergency room, as they are sometimes mistaken for a heart attack . Warren explains more below. What is the difference between a panic attack and anxiety? Warren: Anxiety is basically what we experience when we are worrying about some future event — anticipating a bad outcome that might happen. It's often involved with muscle tension and a general feeling of uneasiness. And it usually comes on gradually. A panic attack is different. It's associated with a very abrupt onset of intense fear because of a sense of threat happening right now , the fight-or-flight response that we're hardwired to have in order to deal with the perception of immediate danger. It sets off that alarm. SEE ALSO: How Diet Influences Mood and Mental Health When might one or the other occur? Warren: So if you're walking down a dark alley, you are probably thinking that there could be potential danger; that anxiety of anticipation, the feeling in your stomach, the elevated heart rate. But if you're walking down that alley and somebody jumps out with a knife, then you're likely to have a panic attack — an overwhelming urge to escape a situation that is dangerous. Panic attacks also can be triggered by subtler cues, like certain bodily sensations. A person could have a pain in the chest and interpret that as a heart attack. Or they feel lightheaded and think they're going to pass out or are having a stroke. How do our bodies decide which reaction is appropriate? Warren: Biologically, panic attacks are associated with the autonomic nervous system and the amygdala — places designed to detect threat and danger. And anxiety is associated with the prefrontal cortex, which has to do with planning and anticipating. Could both conditions occur at once? Warren: Yes. A person might be really anxious about going to a party. Sometimes, then, when they go into those situations, they'll have a panic attack on top of the anxiety because they perceive the situation as potentially dangerous psychologically: Are they going to judge me? Are certain individuals more susceptible? Which condition is more common? Warren: People are hardwired to experience both anxiety and panic attacks. Some are more prone to worry and anxiety because they have a very sensitive nervous system. If they grow up with others who are worriers, they can learn to worry. Clinically, we probably see more patients dealing with anxiety than panic attacks. That's because anxiety is so much a part of people's normal emotional lives. They can feel anxious in a lot of different situations. How do you help affected patients? Warren: With anxiety to the point where it's part of a disorder — let's say generalized anxiety disorder, mostly characterized by anxiety and worry about a whole bunch of different situations — we would treat it by teaching a patient about the role of worry in creating the symptoms and how to manage the worry. That sometimes involves challenging unrealistic thoughts or working to increase one's ability to tolerate uncertainty, which is a big part of anxiety. For the socially anxious, we usually come up with a hierarchy from the least- to most-scary types of situations and systemically get them to go out and test their fears of what might happen which is usually that they will be judged. With panic attacks, we might show them a diagram and explain the fight-or-flight response; their mind or body is trying to help them. If you've had a panic attack that came out of the blue, you might become afraid of lightheadedness and avoid activities that spur adrenaline. So we might hyperventilate for a minute in a controlled way to get to the point where they're not afraid of their own bodily sensation. We work on internal avoidance of those cues that become scary, and desensitize them. It doesn't mean a patient will never be anxious again, but there is good evidence that they can get over these conditions if they engage in evidence based treatment .
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[Get Involved](https://www.michiganmedicine.org/community/arts-health/get-involved-arts-health) - [Exhibit or Perform](https://www.michiganmedicine.org/community/arts-health/get-involved/exhibit-or-perform-arts-health) - [Make Art Now](https://www.michiganmedicine.org/community/arts-health/get-involved/make-art-now) - [Volunteer](https://www.michiganmedicine.org/community/arts-health/get-involved/volunteer-arts-health) - [Donate](https://www.michiganmedicine.org/community/arts-health/get-involved/donate-arts-health) - [Programs & Services](https://www.michiganmedicine.org/community/arts-health/arts-programs-and-services) - [Performances & Events](https://www.michiganmedicine.org/community/arts-health/programs-services/performances-and-events) - [Watch a Concert Now](https://www.michiganmedicine.org/community/arts-health/programs-services/performances-events/watch-concert-now) - [Art Exhibits](https://www.michiganmedicine.org/community/arts-health/programs-services/art-exhibits) - [Permanent Art Collection](https://www.michiganmedicine.org/community/arts-health/programs-services/art-exhibits/permanent-art-collection) - [Art Purchase](https://www.michiganmedicine.org/community/arts-health/programs-services/art-exhibits/art-purchase) - [Community Art](https://www.michiganmedicine.org/community/arts-health/programs-services/art-exhibits/community-art) - [Exhibiting Artist Info](https://www.michiganmedicine.org/community/arts-health/programs-services/art-exhibits/how-exhibit) - [Gallery Diagrams & Info](https://www.michiganmedicine.org/community/arts-health/programs-services/art-exhibits/exhibiting-artist-info/gallery-diagrams-and-info) - [Patient Services](https://www.michiganmedicine.org/community/arts-health/programs-services/arts-health-patient-services) - [Art Cart Posters](https://www.michiganmedicine.org/community/arts-health/programs-services/patient-services/art-cart-posters) - [Bedside Art Program](https://www.michiganmedicine.org/community/arts-health/programs-services/patient-services/bedside-art-program) - [Bedside Music Program](https://www.michiganmedicine.org/community/arts-health/programs-services/patient-services/bedside-music-program) - [Bedside Story Studio](https://www.michiganmedicine.org/community/arts-health/programs-services/patient-services/bedside-story-studio) - [Arts Wellness Resources](https://www.michiganmedicine.org/community/arts-health/arts-wellness-resources) - [Art Resources](https://www.michiganmedicine.org/community/arts-health/arts-wellness-resources/art-resources) - [Hospital Arts Projects](https://www.michiganmedicine.org/community/arts-health/arts-wellness-resources/art-resources/hospital-arts-projects) - [Coloring Books](https://www.michiganmedicine.org/community/arts-health/arts-wellness-resources/art-resources/hospital-arts-projects/coloring-books) - [Comfort Legacy Kits](https://www.michiganmedicine.org/community/arts-health/arts-wellness-resources/art-resources/hospital-arts-projects/comfort-legacy-kits) - [Hamsa Hands](https://www.michiganmedicine.org/community/arts-health/arts-wellness-resources/art-resources/hospital-arts-projects/hamsa-hands) - [Music Resources](https://www.michiganmedicine.org/community/arts-health/arts-wellness-resources/music-resources) - [Nature Resources](https://www.michiganmedicine.org/community/arts-health/arts-wellness-resources/nature-resources) - [Life Sciences Orchestra](https://www.michiganmedicine.org/community/arts-health/life-sciences-orchestra) - [About the Life Sciences Orchestra](https://www.michiganmedicine.org/community/arts-health/life-sciences-orchestra/about-life-sciences-orchestra) - [Give to the Life Sciences Orchestra](https://www.michiganmedicine.org/community/arts-health/life-sciences-orchestra/give-life-sciences-orchestra) - [Join the Life Sciences Orchestra](https://www.michiganmedicine.org/community/arts-health/life-sciences-orchestra/join-life-sciences-orchestra) - [Community Health Planning & Investment](https://www.michiganmedicine.org/community/community-health-planning-and-investment) - [About Community Health Planning and Investment](https://www.michiganmedicine.org/community/community-health-planning-investment/about-community-health-planning-and-investment) - [Community Health Investments](https://www.michiganmedicine.org/community/community-health-planning-investment/community-health-investments) - 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[Environmental Sustainability & Carbon Neutrality](https://www.michiganmedicine.org/community/environmental-social-governance/environmental-sustainability-carbon-neutrality) - [Giving](https://www.michiganmedicine.org/giving) - [Areas to Support](https://www.michiganmedicine.org/giving/areas-support) - [Medical School Scholarships](https://www.michiganmedicine.org/giving/areas-support/giving-medical-school-scholarships) - [Rogel Cancer Center](https://www.michiganmedicine.org/giving/areas-support/giving-rogel-cancer-center) - [Forbes Institute for Cancer Discovery](https://www.michiganmedicine.org/giving/areas-support/rogel-cancer-center/giving-forbes-institute-cancer-discovery) - [Rogel and Blondy Center for Pancreatic Cancer](https://www.michiganmedicine.org/giving/areas-support/rogel-cancer-center/giving-rogel-and-blondy-center-pancreatic-cancer) - [Ronald Weiser Center for Prostate Cancer](https://www.michiganmedicine.org/giving/areas-support/rogel-cancer-center/giving-ronald-weiser-center-prostate-cancer) - [Weiser Family Center for Breast Cancer](https://www.michiganmedicine.org/giving/areas-support/rogel-cancer-center/giving-weiser-family-center-breast-cancer) - [A. Alfred Taubman Medical Research Institute](https://www.michiganmedicine.org/giving/areas-support/giving-alfred-taubman-medical-research-institute) - [Alumni Class Giving](https://www.michiganmedicine.org/giving/areas-support/medical-school-alumni-class-giving) - [Anesthesiology](https://www.michiganmedicine.org/giving/areas-support/giving-anesthesiology) - [Biological Chemistry](https://www.michiganmedicine.org/giving/areas-support/giving-biological-chemistry) - [Biomedical Engineering](https://www.michiganmedicine.org/giving/areas-support/giving-biomedical-engineering) - [CSI Singapore-Rogel Cancer Center partnership](https://www.michiganmedicine.org/giving/areas-support/giving-csi-singapore-rogel-cancer-center-partnership) - [Cardiac Surgery](https://www.michiganmedicine.org/giving/areas-support/giving-cardiac-surgery) - [Cell & Developmental Biology](https://www.michiganmedicine.org/giving/areas-support/giving-cell-developmental-biology) - [Chad Carr Pediatric Brain Tumor Center](https://www.michiganmedicine.org/giving/areas-support/giving-chad-carr-pediatric-brain-tumor-center) - [Community Health Services](https://www.michiganmedicine.org/giving/areas-support/community-health-services) - [Adolescent Health Initiative](https://www.michiganmedicine.org/giving/areas-support/community-health-services/adolescent-health-initiative) - [Ann Arbor Meals on Wheels](https://www.michiganmedicine.org/giving/areas-support/community-health-services/ann-arbor-meals-wheels) - [Housing Bureau for Seniors](https://www.michiganmedicine.org/giving/areas-support/community-health-services/housing-bureau-seniors) - [Osher Lifelong Learning Institute (OLLI)](https://www.michiganmedicine.org/giving/areas-support/community-health-services/osher-lifelong-learning-institute) - [Regional Alliance for Healthy Schools](https://www.michiganmedicine.org/giving/areas-support/community-health-services/regional-alliance-healthy-schools) - [Silver Club Memory Programs](https://www.michiganmedicine.org/giving/areas-support/community-health-services/silver-club-memory-programs) - [Turner African American Services Council](https://www.michiganmedicine.org/giving/areas-support/community-health-services/turner-african-american-services-council) - [Turner Senior Wellness Program](https://www.michiganmedicine.org/giving/areas-support/community-health-services/turner-senior-wellness-program) - [Volunteer Services](https://www.michiganmedicine.org/giving/areas-support/community-health-services/volunteer-services) - [Computational Medicine & Bioinformatics](https://www.michiganmedicine.org/giving/areas-support/giving-gilbert-s-omenn-department-computational-medicine-and-bioinformatics) - [Congenital Heart Center](https://www.michiganmedicine.org/giving/areas-support/giving-congenital-heart-center) - [Dermatology](https://www.michiganmedicine.org/giving/areas-support/giving-dermatology) - [Eisenberg Family Depression Center](https://www.michiganmedicine.org/giving/areas-support/giving-eisenberg-family-depression-center) - [Elizabeth Weiser Caswell Diabetes Institute](https://www.michiganmedicine.org/giving/areas-support/giving-caswell-diabetes-institute) - [Emergency Medicine](https://www.michiganmedicine.org/giving/areas-support/giving-emergency-medicine) - [Environmental, Social & Governance](https://www.michiganmedicine.org/giving/areas-support/giving-environmental-social-governance) - [Family Medicine](https://www.michiganmedicine.org/giving/areas-support/giving-family-medicine) - [Fast Forward Medical Innovation](https://www.michiganmedicine.org/giving/areas-support/giving-fast-forward-medical-innovation) - [Frankel Cardiovascular Center (CVC)](https://www.michiganmedicine.org/giving/areas-support/giving-frankel-cardiovascular-center) - [Giving to C.S. Mott Children's Hospital](https://www.michiganmedicine.org/giving/areas-support/giving-cs-mott-childrens-hospital) - [Heinz C. 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Identifying your symptoms — and knowing help is available — is key to recovery January 11, 2017 7:00 AM Author \\| [Kevin Joy](https://www.michiganmedicine.org/author/kevin-joy) ![Am I having an anxiety attack or a panic attack?](https://www.michiganmedicine.org/sites/default/files/styles/article_main_image/public/blog/UMH_C_PanicAnxiety%25402x.jpg?h=8f967d64&itok=TkAkJFi5) *This article was updated on June 27, 2023.* When you feel a sudden rush of [nerves or high emotion](https://healthblog.uofmhealth.org/health-management/whats-difference-between-nerves-and-anxiety), it's likely that your body responds in turn. Sweating, shakiness or feelings of nausea, among other things, might occur. *[MORE FROM MICHIGAN: Sign up for our weekly newsletter](http://healthblog.uofmhealth.org/newsletter)* Such discomfort, particularly if the sensations are new, could prompt a person to ask: [Am I experiencing a panic attack](https://healthblog.uofmhealth.org/wellness-prevention/anxiety-and-panic-attack-symptoms-treatments-perfcon)? Or is it an anxiety attack? But that's not quite the right question. It's likely you're experiencing either anxiety or a panic attack. "They're very different emotional conditions," said Ricks Warren, Ph.D., a clinical professor of psychiatry at the University of Michigan. Anxiety is a condition defined as excessive, persisting, difficult to control worries over an imminent event such as death or illness, or even minor events such as being late for an appointment or other uncertain outcomes. Symptoms include fatigue, hypervigilance, restlessness and irritability — and are often chronic. Panic attacks, on the other hand, are short bursts of intense fear often marked by increased heart rate, chest pain, lightheadedness or shortness of breath. Typically lasting fewer than 30 minutes, they could occur once or repeatedly — sometimes without apparent reason. These episodes can send patients to the emergency room, as they are sometimes [mistaken for a heart attack](http://healthblog.uofmhealth.org/heart-health/how-to-tell-difference-between-a-heart-attack-and-a-panic-attack). Warren explains more below. #### What is the difference between a panic attack and anxiety? Warren: Anxiety is basically what we experience when we are worrying about some future event — anticipating a bad outcome that might happen. It's often involved with muscle tension and a general feeling of uneasiness. And it usually comes on gradually. A panic attack is different. It's associated with a very abrupt onset of intense fear because of a sense of threat happening right now, the fight-or-flight response that we're hardwired to have in order to deal with the perception of immediate danger. It sets off that alarm. *[SEE ALSO: How Diet Influences Mood and Mental Health](http://healthblog.uofmhealth.org/lifestyle/how-diet-influences-mood-and-mental-health)* #### When might one or the other occur? Warren: So if you're walking down a dark alley, you are probably thinking that there could be potential danger; that anxiety of anticipation, the feeling in your stomach, the elevated heart rate. But if you're walking down that alley and somebody jumps out with a knife, then you're likely to have a panic attack — an overwhelming urge to escape a situation that is dangerous. Panic attacks also can be triggered by subtler cues, like certain bodily sensations. A person could have a pain in the chest and interpret that as a heart attack. Or they feel lightheaded and think they're going to pass out or are having a stroke. #### How do our bodies decide which reaction is appropriate? Warren: Biologically, panic attacks are associated with the autonomic nervous system and the amygdala — places designed to detect threat and danger. And anxiety is associated with the prefrontal cortex, which has to do with planning and anticipating. #### Could both conditions occur at once? Warren: Yes. A person might be really anxious about going to a party. Sometimes, then, when they go into those situations, they'll have a panic attack on top of the anxiety because they perceive the situation as potentially dangerous psychologically: Are they going to judge me? #### Are certain individuals more susceptible? Which condition is more common? Warren: People are hardwired to experience both anxiety and panic attacks. Some are more prone to worry and anxiety because they have a very sensitive nervous system. If they grow up with others who are worriers, they can learn to worry. Clinically, we probably see more patients dealing with anxiety than panic attacks. That's because anxiety is so much a part of people's normal emotional lives. They can feel anxious in a lot of different situations. #### How do you help affected patients? Warren: With anxiety to the point where it's part of a disorder — let's say generalized anxiety disorder, mostly characterized by anxiety and worry about a whole bunch of different situations — we would treat it by teaching a patient about the role of worry in creating the symptoms and how to manage the worry. That sometimes involves challenging unrealistic thoughts or working to increase one's ability to tolerate uncertainty, which is a big part of anxiety. For the socially anxious, we usually come up with a hierarchy from the least- to most-scary types of situations and systemically get them to go out and test their fears of what might happen which is usually that they will be judged. With panic attacks, we might show them a diagram and explain the fight-or-flight response; their mind or body is trying to help them. If you've had a panic attack that came out of the blue, you might become afraid of lightheadedness and avoid activities that spur adrenaline. So we might hyperventilate for a minute in a controlled way to get to the point where they're not afraid of their own bodily sensation. We work on internal avoidance of those cues that become scary, and desensitize them. It doesn't mean a patient will never be anxious again, but there is good evidence that they can get over these conditions if they [engage in evidence based treatment](https://healthblog.uofmhealth.org/wellness-prevention/3-easy-exercises-for-anxiety-relief-you-can-use-anywhere). *** ## More Articles About: Preventative health and wellness anxiety Mental Health Assessment Panic Attacks Mental Health ![Health Lab word mark overlaying blue cells](https://www.michiganmedicine.org/sites/default/files/styles/article_sidebar/public/2026-03/HL%20Article%20Tag.jpg?h=0afd8502&itok=VtvrqoOD) ## Health Lab Explore a variety of health care news & stories by visiting the Health Lab home page for more articles. ### Media Contact ![](https://www.michiganmedicine.org/sites/default/files/2022-10/u-hospital-spring_large_1130x635.jpg) ### Public Relations Department of Communication at Michigan Medicine [MichmedMedia@med.umich.edu](mailto:MichmedMedia@med.umich.edu) [734-764-2220](tel:734-764-2220) ## Stay Informed Want top health & research news weekly? Sign up for Health Lab’s newsletters today\! Subscribe Subscribe ## Featured News & Stories ![Minding memory above a microphone on a blue background](https://www.michiganmedicine.org/sites/default/files/styles/card/public/2023-06/mm_networkpage.jpg?h=51c0859a&itok=W6-1uQXk) Minding Memory ### Convoys of Caregiving: Arab American Families Living with Dementia In this episode, Matt & Lauren speak with Kristine Ajrouch, PhD - a new member of our CAPRA leadership team. Kristine is a Research Professor at the Institute for Social Research whose work focuses on aging, health, immigration and family in the United Statues and the Middle East; social networks over the life course; and Arab American identity and well-being. Kristine discusses a recent article that examined an intervention to improve outcomes among Arab American caregivers who provide care to a family member living with dementia. She also shares what this work teaches us about caregiving as a family system rather than the responsibility of a single individual. ![teacher with students at table looking at laptop in library ](https://www.michiganmedicine.org/sites/default/files/styles/card/public/2026-03/teacher-mentor-students-library-studying.jpg?h=f0fb51a5&itok=Zmgn4E7S) Health Lab ### What’s the equivalent of a wheelchair for a person with schizophrenia? Three experts, including a Michigan Medicine physician, talks about what psychiatric rehabilitation looks like in the community and for patients. ![Teen girl sitting on floor next to her bed looking at a smartphone, with icons from social media apps layered over her as she frowns](https://www.michiganmedicine.org/sites/default/files/styles/card/public/2026-03/teen_girl_social_media_icons_copy.jpg?h=f0fb51a5&itok=W7UxWdc0) Health Lab ### How to improve mental health safety on social media – not just for young people With social media companies losing or settling court cases about their products' impact on young peoples' mental health, experts offer tips for reducing impacts for those who use the platforms. ![Minding Memory with a microphone and a shadow of a microphone on a blue background](https://www.michiganmedicine.org/sites/default/files/styles/card/public/2023-05/MEM_900x1200.jpg?h=9b0ae1d9&itok=IPCQhXyT) Minding Memory ### Neighborhood Income and Cognitive Health Welcome back to Minding Memory! In today’s episode, Lauren & Matt speak with Dr. Laura Zahodne – a professor of psychology at the University of Michigan and an affiliate of the Institute for Social Research. She's a clinical neuropsychologist by training and studies how psychosocial experiences shape late life, cognitive health, and risk of neurodegenerative disease. Also, a new member of our CAPRA leadership team! In this episode, we’ll get to know Laura a little better and talk with her about one of her research studies, the Neighborhood Racial Income Inequality in Cognitive Health, which looks at the association between racial income differences and a variety of cognitive measures. ![kids hugging legs with jeans on green light blue striped shirt white sneakers next to person with green shirt writing on white notepad](https://www.michiganmedicine.org/sites/default/files/styles/card/public/2026-03/child-couch-therapy-session-clipboard-.jpg?h=f0fb51a5&itok=HcnKp0Pp) Health Lab ### A new way to close the pediatric mental health gap Innovative model successfully improves access to pediatric psychiatric health care, while training future pediatricians to manage common mental health conditions, new data suggests. ![](https://www.michiganmedicine.org/sites/default/files/styles/card/public/oembed_thumbnails/VUmAEueDYqU8SpmpoMGQnaeBDvIk2rEBb6zE8sP92Ug.jpg?h=144d094f&itok=6BDbi3TG) Health Lab ### Complex connections among bipolar disorder, substance use and suicide Discover how bipolar disorder, substance use and suicide risk intersect. Research, clinical and lived experience experts at Michigan Medicine share findings, treatment strategies, and personal insights. 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Readable Markdown	*This article was updated on June 27, 2023.* When you feel a sudden rush of [nerves or high emotion](https://healthblog.uofmhealth.org/health-management/whats-difference-between-nerves-and-anxiety), it's likely that your body responds in turn. Sweating, shakiness or feelings of nausea, among other things, might occur. *[MORE FROM MICHIGAN: Sign up for our weekly newsletter](http://healthblog.uofmhealth.org/newsletter)* Such discomfort, particularly if the sensations are new, could prompt a person to ask: [Am I experiencing a panic attack](https://healthblog.uofmhealth.org/wellness-prevention/anxiety-and-panic-attack-symptoms-treatments-perfcon)? Or is it an anxiety attack? But that's not quite the right question. It's likely you're experiencing either anxiety or a panic attack. "They're very different emotional conditions," said Ricks Warren, Ph.D., a clinical professor of psychiatry at the University of Michigan. Anxiety is a condition defined as excessive, persisting, difficult to control worries over an imminent event such as death or illness, or even minor events such as being late for an appointment or other uncertain outcomes. Symptoms include fatigue, hypervigilance, restlessness and irritability — and are often chronic. Panic attacks, on the other hand, are short bursts of intense fear often marked by increased heart rate, chest pain, lightheadedness or shortness of breath. Typically lasting fewer than 30 minutes, they could occur once or repeatedly — sometimes without apparent reason. These episodes can send patients to the emergency room, as they are sometimes [mistaken for a heart attack](http://healthblog.uofmhealth.org/heart-health/how-to-tell-difference-between-a-heart-attack-and-a-panic-attack). Warren explains more below. #### What is the difference between a panic attack and anxiety? Warren: Anxiety is basically what we experience when we are worrying about some future event — anticipating a bad outcome that might happen. It's often involved with muscle tension and a general feeling of uneasiness. And it usually comes on gradually. A panic attack is different. It's associated with a very abrupt onset of intense fear because of a sense of threat happening right now, the fight-or-flight response that we're hardwired to have in order to deal with the perception of immediate danger. It sets off that alarm. *[SEE ALSO: How Diet Influences Mood and Mental Health](http://healthblog.uofmhealth.org/lifestyle/how-diet-influences-mood-and-mental-health)* #### When might one or the other occur? Warren: So if you're walking down a dark alley, you are probably thinking that there could be potential danger; that anxiety of anticipation, the feeling in your stomach, the elevated heart rate. But if you're walking down that alley and somebody jumps out with a knife, then you're likely to have a panic attack — an overwhelming urge to escape a situation that is dangerous. Panic attacks also can be triggered by subtler cues, like certain bodily sensations. A person could have a pain in the chest and interpret that as a heart attack. Or they feel lightheaded and think they're going to pass out or are having a stroke. #### How do our bodies decide which reaction is appropriate? Warren: Biologically, panic attacks are associated with the autonomic nervous system and the amygdala — places designed to detect threat and danger. And anxiety is associated with the prefrontal cortex, which has to do with planning and anticipating. #### Could both conditions occur at once? Warren: Yes. A person might be really anxious about going to a party. Sometimes, then, when they go into those situations, they'll have a panic attack on top of the anxiety because they perceive the situation as potentially dangerous psychologically: Are they going to judge me? #### Are certain individuals more susceptible? Which condition is more common? Warren: People are hardwired to experience both anxiety and panic attacks. Some are more prone to worry and anxiety because they have a very sensitive nervous system. If they grow up with others who are worriers, they can learn to worry. Clinically, we probably see more patients dealing with anxiety than panic attacks. That's because anxiety is so much a part of people's normal emotional lives. They can feel anxious in a lot of different situations. #### How do you help affected patients? Warren: With anxiety to the point where it's part of a disorder — let's say generalized anxiety disorder, mostly characterized by anxiety and worry about a whole bunch of different situations — we would treat it by teaching a patient about the role of worry in creating the symptoms and how to manage the worry. That sometimes involves challenging unrealistic thoughts or working to increase one's ability to tolerate uncertainty, which is a big part of anxiety. For the socially anxious, we usually come up with a hierarchy from the least- to most-scary types of situations and systemically get them to go out and test their fears of what might happen which is usually that they will be judged. With panic attacks, we might show them a diagram and explain the fight-or-flight response; their mind or body is trying to help them. If you've had a panic attack that came out of the blue, you might become afraid of lightheadedness and avoid activities that spur adrenaline. So we might hyperventilate for a minute in a controlled way to get to the point where they're not afraid of their own bodily sensation. We work on internal avoidance of those cues that become scary, and desensitize them. It doesn't mean a patient will never be anxious again, but there is good evidence that they can get over these conditions if they [engage in evidence based treatment](https://healthblog.uofmhealth.org/wellness-prevention/3-easy-exercises-for-anxiety-relief-you-can-use-anywhere).
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