🕷️ Crawler Inspector

URL Lookup

Direct Parameter Lookup

Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 18 (from laksa129)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa018.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.seattlechildrens.org/conditions/a-z/panic-attack/\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.seattlechildrens.org/conditions/a-z/panic-attack/\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.seattlechildrens.org\/conditions\/a-z\/panic-attack\/","crawl_time":1775572509,"first_indexed_time":1631880635,"http_code":200,"src_unparsed":"org,seattlechildrens!www,\/conditions\/a-z\/panic-attack\/ s443","src_root_hash":"14744512740537047218","history_drop_reason":null,"meta_title":"Panic Attack","meta_descriptions":[],"attrs_boilerpipe_text":"Is this your child's symptom?\nAnxiety attacks (also called panic attacks).\nSymptoms are fast, deep breathing (hyperventilation), fast heart rate, feeling dizzy and many others. The body goes on \"red alert.\" Patient feels like they are dying or losing control of their body.\nNormal anxiety, worries and fears also covered.\nAnxiety Attacks: Facts\nHappens in 1-2% of people.\nRisk factors: anxiety attacks are genetic. They tend to occur in families.\nAge of onset: teens or young adults\nCause: release of stress hormones as when \"under attack\"\nTriggers of attacks: life stressors, though many attacks are unexpected\nLength of attacks: 20-30 minutes\nHow often attacks happen: no set pattern\nSide effect: patient avoids social settings for fear of having an attack\nTreatment, if frequent: Cognitive Behavior Therapy (CBT). SSRI meds may also be prescribed by a provider. They can turn down the volume on anxious thoughts.\nNormal Anxiety and Worries:\nAnxiety is a normal response to stressful events.\nIt also protects us from real dangers.\nAll people feel anxious at times. It is a normal emotion that will always be part of you.\nBut, anxiety can be managed so that it does not keep you from doing normal things.\nWhen your child is anxious or worried, help them talk about their feelings.\nBehavior Scale: How to Judge Severity\nMild Symptoms:\nsymptoms do not keep the child from any normal activities. School, play, relationships and sleep have not changed. Treatment: parenting groups or books.\nModerate Symptoms:\nsymptoms keep the child from doing some normal activities. New behaviors mainly happen at home. They affect how the child and parent interact. They may also keep him or her from going to child care or school. Your child may not sleep well because of these symptoms. Treatment: most often, brief counseling from a mental health provider or your child's doctor.\nSevere Symptoms:\nsymptoms keep the child from doing most normal activities. They affect the way the child acts with parents. Symptoms also impact relations with siblings and friends. Adults at child care or school may also be impacted by the child's actions. Treatment: these patients often need to be seen urgently by a mental health provider.\nWhen to Call for Panic Attack\nCall 911 Now\nSevere trouble breathing (struggling for each breath, can barely speak)\nActs or talks confused\nYou think your child has a life-threatening emergency\nCall Doctor or Seek Care Now\nAnxiety attack (has been diagnosed in the past), but care advice is not helping\nChild is very upset; can't be calmed down (or call 988, the Suicide and Crisis Lifeline)\nYou want an urgent psych exam for your child\nYou think your child needs to be seen, and the problem is urgent (or call 988, the Suicide and Crisis Lifeline)\nContact Doctor Within 24 Hours\nYou want a referral to a mental health counselor\nPatient takes psych meds and you have med questions\nYou think your child needs to be seen, but the problem is not urgent\nContact Doctor During Office Hours\nAnxiety or panic attacks have never been diagnosed by a doctor\nSymptoms of anxiety or fear and won't go to school\nSymptoms of anxiety or fear interfere with sleep\nSymptoms of anxiety or fear keep from doing normal things\nYou have other questions or concerns\nSelf Care at Home\nAnxiety attack (panic attack) was diagnosed in the past\nNormal anxiety symptoms\nCare Advice for Anxiety Attack\nWhat You Should Know About an Anxiety Attack:\nDuring an anxiety attack, your child feels overwhelmed by fear.\nSometimes, they even fear that they are dying.\nTell your child that the symptoms are scary, but harmless.\nThe symptoms most often stop in less than 30 minutes.\nHere is some care advice that should help.\nStart Exercises to Help Relax:\nDo anything that has helped in the past.\nTry to help your child put herself into a relaxed state.\nHow to relax: lie down in a quiet place. Relax each muscle in your body, from head to toe. Take deep, slow breaths. Think about something pleasant. Pretend you are in a favorite place.\nSince fast breathing is often part of a panic attack, deal with that first.\nOnce breathing is under control, the panic attack will often end.\nSlow Your Child's Fast Breathing:\nReassure your child they are healthy and the symptoms are from fast breathing.\nTalk in a calm voice.\nGetting control of their breathing will often stop the anxiety attack.\nHelp your child slow down to 1 breath every 5 seconds (12 per minute).\nTry to breathe quietly instead of deeply.\nTry to do belly-breathing, instead of chest breathing. Move your belly button out and in versus raising the shoulders up and down.\nTry to breathe through the nose with the mouth closed.\nCaution: re-breathing into a paper bag is not recommended. Reason: it can make the attack worse.\nAnxiety Attacks - Find the Triggers:\nTry to find the events or triggers that bring on anxiety attacks.\nKeep a diary of attacks.\nWrite down what happened just before the attack started. Include details of where you were and what you were doing. Also write down the main symptoms, how long it lasted, and what helped.\nLook for patterns.\nAvoid events that make your child anxious.\nIf it can't be avoided, teach your child how to cope with those times.\nPrevention - Reduce Future Anxiety:\nHelp your child talk about events that trigger the anxiety. Talk about how to cope with these triggers the next time they occur.\nHelp your child worry less about things he or she can't control.\nExercise each day. Being active helps manage stress.\nTeach your child the importance of getting enough sleep (at least 8 hours each night). You can cope with stress better if you get enough sleep.\nIf over-achievement is the cause of your child's anxiety, help your child find more balance.\nDo something fun and relaxing each day. Examples are playing music, walking, reading, or talking with friends.\nAvoid Caffeine Products:\nAvoid or reduce drinks with caffeine in them. Reason: it is a stimulant and can make anxiety worse.\nExamples are coffee, tea, colas, and energy drinks.\nWhat to Expect:\nThe symptoms most often stop in less than 30 minutes.\nFuture attacks will happen, so learn how to manage them.\nResource - NAMI Helpline:\nIf your child is already in treatment, call your mental health provider.\nIf not, call your doctor or find a local mental health resource.\nFor non-urgent concerns, go to the\nNational Alliance on Mental Health (NAMI)\nwebsite.\nNAMI Helpline\nis an information and referral source for finding local mental health programs. Their toll-free phone number is:\n1-800-950-NAMI (6264).\nNAMI is not a 24\/7 crisis line.\nFor urgent mental health crises, call the 24\/7 Suicide and Crisis Lifeline:\n988.\nCall Your Doctor If:\nAnxiety attack does not end within 30 minutes using this advice\nAnxiety attacks become more frequent\nYour child has never been seen for these attacks\nYou think your child needs to be seen\nYour child becomes worse\nRemember! Contact your doctor if you or your child develop any \"Contact Your Doctor\" symptoms.\nDisclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.\nLast Reviewed: 05\/01\/2025\nLast Revised: 01\/25\/2025\nCopyright 2000-2025 Schmitt Pediatric Guidelines LLC.","attrs_markdown":"[Skip to navigation menu](https:\/\/www.seattlechildrens.org\/conditions\/a-z\/panic-attack\/#nav) [Skip to content](https:\/\/www.seattlechildrens.org\/conditions\/a-z\/panic-attack\/#main-content)\n\n- [MyChart](https:\/\/www.seattlechildrens.org\/patients-families\/mychart\/ \"MyChart\")\n- [Telemedicine](https:\/\/www.seattlechildrens.org\/clinics\/telemedicine\/ \"Telemedicine\")\n- [Healthcare Professionals](https:\/\/www.seattlechildrens.org\/healthcare-professionals\/ \"Healthcare Professionals\")\n- [Careers](https:\/\/www.seattlechildrens.org\/careers\/ \"Careers\")\n- [Alerts](https:\/\/www.seattlechildrens.org\/conditions\/a-z\/panic-attack\/#sitewide-alerts \"Alerts\")\n- [Donate Now](https:\/\/give.seattlechildrens.org\/give\/284150\/#!\/donation\/checkout?c_src=dotorg&c_src2=global-donate-button \"Donate Now\")\n\n- [I want to …](https:\/\/www.seattlechildrens.org\/conditions\/a-z\/panic-attack\/)\n  - 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- [Go to MyChart](https:\/\/mychart.seattlechildrens.org\/mychart\/authentication\/login)\n    - [Find a Doctor](https:\/\/www.seattlechildrens.org\/directory\/)\n    - [Make an Appointment](https:\/\/www.seattlechildrens.org\/clinics\/schedule-appointment\/)\n    - [Find a Location](https:\/\/www.seattlechildrens.org\/locations\/)\n    - [Visit ED or Urgent Care](https:\/\/www.seattlechildrens.org\/clinics\/urgent-care-clinic\/emergency-or-urgent-care\/)\n  - - [Get Driving Directions](https:\/\/www.seattlechildrens.org\/locations\/)\n    - [Refill a Prescription](https:\/\/www.seattlechildrens.org\/clinics\/pharmacy\/)\n    - [Contact Children's](https:\/\/www.seattlechildrens.org\/contact\/)\n    - [Pay My Bill](https:\/\/www.seattlechildrens.org\/clinics\/paying-for-care\/pay-my-bill\/)\n    - [Estimate My Cost](https:\/\/www.seattlechildrens.org\/clinics\/paying-for-care\/price-transparency\/)\n    - [Apply for Financial Assistance](https:\/\/www.seattlechildrens.org\/clinics\/paying-for-care\/financial-assistance\/)\n    - [Request My Medical Records](https:\/\/www.seattlechildrens.org\/clinics\/health-info-management\/)\n    - [Find Patient Education](https:\/\/www.seattlechildrens.org\/patients-families\/patient-education\/)\n    - [Volunteer](https:\/\/www.seattlechildrens.org\/giving\/volunteer\/ \"Volunteer\")\n    - [Donate](https:\/\/give.seattlechildrens.org\/give\/284150\/#!\/donation\/checkout \"Donate\")\n  - - [Refer and Manage a Patient](https:\/\/www.seattlechildrens.org\/healthcare-professionals\/refer\/)\n\n[Donate Now](https:\/\/give.seattlechildrens.org\/give\/284150\/#!\/donation\/checkout?c_src=dotorg&c_src2=global-donate-button \"Donate Now\")\n\n- Main Menu\n- On This Page\n  Jump to a section on this page:\n\n- [Conditions](https:\/\/www.seattlechildrens.org\/conditions\/)\n- [All Conditions (A to Z)](https:\/\/www.seattlechildrens.org\/conditions\/a-z\/)\n\n# Panic Attack\n## Is this your child's symptom?\n- Anxiety attacks (also called panic attacks).\n- Symptoms are fast, deep breathing (hyperventilation), fast heart rate, feeling dizzy and many others. The body goes on \"red alert.\" Patient feels like they are dying or losing control of their body.\n- Normal anxiety, worries and fears also covered.\n### Anxiety Attacks: Facts\n- Happens in 1-2% of people.\n- Risk factors: anxiety attacks are genetic. They tend to occur in families.\n- Age of onset: teens or young adults\n- Cause: release of stress hormones as when \"under attack\"\n- Triggers of attacks: life stressors, though many attacks are unexpected\n- Length of attacks: 20-30 minutes\n- How often attacks happen: no set pattern\n- Side effect: patient avoids social settings for fear of having an attack\n- Treatment, if frequent: Cognitive Behavior Therapy (CBT). SSRI meds may also be prescribed by a provider. They can turn down the volume on anxious thoughts.\n### Normal Anxiety and Worries:\n- Anxiety is a normal response to stressful events.\n- It also protects us from real dangers.\n- All people feel anxious at times. It is a normal emotion that will always be part of you.\n- But, anxiety can be managed so that it does not keep you from doing normal things.\n- When your child is anxious or worried, help them talk about their feelings.\n### Behavior Scale: How to Judge Severity\n- **Mild Symptoms:** symptoms do not keep the child from any normal activities. School, play, relationships and sleep have not changed. Treatment: parenting groups or books.\n- **Moderate Symptoms:** symptoms keep the child from doing some normal activities. New behaviors mainly happen at home. They affect how the child and parent interact. They may also keep him or her from going to child care or school. Your child may not sleep well because of these symptoms. Treatment: most often, brief counseling from a mental health provider or your child's doctor.\n- **Severe Symptoms:** symptoms keep the child from doing most normal activities. They affect the way the child acts with parents. Symptoms also impact relations with siblings and friends. Adults at child care or school may also be impacted by the child's actions. Treatment: these patients often need to be seen urgently by a mental health provider.\n## When to Call for Panic Attack\n### Call 911 Now\n- Severe trouble breathing (struggling for each breath, can barely speak)\n- Acts or talks confused\n- You think your child has a life-threatening emergency\n### Call Doctor or Seek Care Now\n- Anxiety attack (has been diagnosed in the past), but care advice is not helping\n- Child is very upset; can't be calmed down (or call 988, the Suicide and Crisis Lifeline)\n- You want an urgent psych exam for your child\n- You think your child needs to be seen, and the problem is urgent (or call 988, the Suicide and Crisis Lifeline)\n### Contact Doctor Within 24 Hours\n- You want a referral to a mental health counselor\n- Patient takes psych meds and you have med questions\n- You think your child needs to be seen, but the problem is not urgent\n### Contact Doctor During Office Hours\n- Anxiety or panic attacks have never been diagnosed by a doctor\n- Symptoms of anxiety or fear and won't go to school\n- Symptoms of anxiety or fear interfere with sleep\n- Symptoms of anxiety or fear keep from doing normal things\n- You have other questions or concerns\n### Self Care at Home\n- Anxiety attack (panic attack) was diagnosed in the past\n- Normal anxiety symptoms\n\n## Seattle Children's Urgent Care Locations\n**If your child’s illness or injury is life-threatening, call 911.**\n\n- [Bellevue](https:\/\/www.seattlechildrens.org\/locations\/urgent-care-bellevue\/ \"Bellevue\")\n- [Everett](https:\/\/www.seattlechildrens.org\/locations\/urgent-care-everett\/ \"Everett\")\n- [Federal Way](https:\/\/www.seattlechildrens.org\/locations\/urgent-care-federal-way\/ \"Federal Way\")\n- [Seattle](https:\/\/www.seattlechildrens.org\/locations\/urgent-care-seattle\/ \"Seattle\")\n- [Virtual Urgent Care](https:\/\/www.seattlechildrens.org\/clinics\/urgent-care-clinic\/virtual-urgent-care\/ \"Virtual Urgent Care\")\n## Care Advice for Anxiety Attack\n#### What You Should Know About an Anxiety Attack:\n- During an anxiety attack, your child feels overwhelmed by fear.\n- Sometimes, they even fear that they are dying.\n- Tell your child that the symptoms are scary, but harmless.\n- The symptoms most often stop in less than 30 minutes.\n- Here is some care advice that should help.\n#### Start Exercises to Help Relax:\n- Do anything that has helped in the past.\n- Try to help your child put herself into a relaxed state.\n- How to relax: lie down in a quiet place. Relax each muscle in your body, from head to toe. Take deep, slow breaths. Think about something pleasant. Pretend you are in a favorite place.\n- Since fast breathing is often part of a panic attack, deal with that first.\n- Once breathing is under control, the panic attack will often end.\n#### Slow Your Child's Fast Breathing:\n- Reassure your child they are healthy and the symptoms are from fast breathing.\n- Talk in a calm voice.\n- Getting control of their breathing will often stop the anxiety attack.\n- Help your child slow down to 1 breath every 5 seconds (12 per minute).\n- Try to breathe quietly instead of deeply.\n- Try to do belly-breathing, instead of chest breathing. Move your belly button out and in versus raising the shoulders up and down.\n- Try to breathe through the nose with the mouth closed.\n- Caution: re-breathing into a paper bag is not recommended. Reason: it can make the attack worse.\n#### Anxiety Attacks - Find the Triggers:\n- Try to find the events or triggers that bring on anxiety attacks.\n- Keep a diary of attacks.\n- Write down what happened just before the attack started. Include details of where you were and what you were doing. Also write down the main symptoms, how long it lasted, and what helped.\n- Look for patterns.\n- Avoid events that make your child anxious.\n- If it can't be avoided, teach your child how to cope with those times.\n#### Prevention - Reduce Future Anxiety:\n- Help your child talk about events that trigger the anxiety. Talk about how to cope with these triggers the next time they occur.\n- Help your child worry less about things he or she can't control.\n- Exercise each day. Being active helps manage stress.\n- Teach your child the importance of getting enough sleep (at least 8 hours each night). You can cope with stress better if you get enough sleep.\n- If over-achievement is the cause of your child's anxiety, help your child find more balance.\n- Do something fun and relaxing each day. Examples are playing music, walking, reading, or talking with friends.\n#### Avoid Caffeine Products:\n- Avoid or reduce drinks with caffeine in them. Reason: it is a stimulant and can make anxiety worse.\n- Examples are coffee, tea, colas, and energy drinks.\n#### What to Expect:\n- The symptoms most often stop in less than 30 minutes.\n- Future attacks will happen, so learn how to manage them.\n#### Resource - NAMI Helpline:\n- If your child is already in treatment, call your mental health provider.\n- If not, call your doctor or find a local mental health resource.\n- For non-urgent concerns, go to the [National Alliance on Mental Health (NAMI)](https:\/\/nami.org\/Home) website.\n- **NAMI Helpline** is an information and referral source for finding local mental health programs. Their toll-free phone number is: [1-800-950-NAMI (6264).](tel:8009506264)\n- **NAMI is not a 24\/7 crisis line.**\n- For urgent mental health crises, call the 24\/7 Suicide and Crisis Lifeline: [988\\.](tel:988)\n#### Call Your Doctor If:\n- Anxiety attack does not end within 30 minutes using this advice\n- Anxiety attacks become more frequent\n- Your child has never been seen for these attacks\n- You think your child needs to be seen\n- Your child becomes worse\n\nLast Reviewed: 05\/01\/2025\n\nLast Revised: 01\/25\/2025\n\nCopyright 2000-2025 Schmitt Pediatric Guidelines LLC.\n\n### Should your child see a doctor?\nFind out by selecting your child's symptom or health condition in the list below:\n\nSelect a Symptom\n\n[All Symptoms](https:\/\/www.seattlechildrens.org\/conditions\/symptom-index\/)\n\nAbout Us\n\n- [About Seattle Children’s](https:\/\/www.seattlechildrens.org\/about\/ \"About Seattle Children’s\")\n- [Contact Us](https:\/\/www.seattlechildrens.org\/contact\/ \"Contact 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Healthcare Experience and Outcomes\")\n- [Values](https:\/\/www.seattlechildrens.org\/about\/mission-vision-values\/ \"Values\")\n- [Nondiscrimination and Interpreters Notice](https:\/\/www.seattlechildrens.org\/patients-families\/nondiscrimination-interpreters-notice\/ \"Nondiscrimination and Interpreters Notice\")\n- [Accessibility and Special Needs](https:\/\/www.seattlechildrens.org\/locations\/hospital-campus\/accessibility\/ \"Accessibility and Special Needs\")\n\nAbout This Site\n\n- [About This Website](https:\/\/www.seattlechildrens.org\/about-this-site\/ \"About This Website\")\n- [Feedback](https:\/\/www.seattlechildrens.org\/about-this-site\/web-site-feedback\/ \"Feedback\")\n- [Terms of Use](https:\/\/www.seattlechildrens.org\/about-this-site\/terms-of-use\/ \"Website Terms of Use\")\n- [Privacy](https:\/\/www.seattlechildrens.org\/about-this-site\/website-privacy\/ \"Privacy\")\n- [My Health My Data](https:\/\/www.seattlechildrens.org\/about-this-site\/my-health-my-data\/ 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Network Hospitals\")\n\nSeattle Children’s complies with applicable federal and other civil rights laws and does not discriminate, exclude people or treat them differently based on race, color, religion (creed), sex, gender identity or expression, sexual orientation, national origin (ancestry), age, disability, or any other status protected by applicable federal, state or local law. Financial assistance for medically necessary services is based on family income and hospital resources and is provided to children under age 21 whose primary residence is in Washington, Alaska, Montana or Idaho.","attrs_readable_markdown":"## Is this your child's symptom?\n- Anxiety attacks (also called panic attacks).\n- Symptoms are fast, deep breathing (hyperventilation), fast heart rate, feeling dizzy and many others. The body goes on \"red alert.\" Patient feels like they are dying or losing control of their body.\n- Normal anxiety, worries and fears also covered.\n### Anxiety Attacks: Facts\n- Happens in 1-2% of people.\n- Risk factors: anxiety attacks are genetic. They tend to occur in families.\n- Age of onset: teens or young adults\n- Cause: release of stress hormones as when \"under attack\"\n- Triggers of attacks: life stressors, though many attacks are unexpected\n- Length of attacks: 20-30 minutes\n- How often attacks happen: no set pattern\n- Side effect: patient avoids social settings for fear of having an attack\n- Treatment, if frequent: Cognitive Behavior Therapy (CBT). SSRI meds may also be prescribed by a provider. They can turn down the volume on anxious thoughts.\n### Normal Anxiety and Worries:\n- Anxiety is a normal response to stressful events.\n- It also protects us from real dangers.\n- All people feel anxious at times. It is a normal emotion that will always be part of you.\n- But, anxiety can be managed so that it does not keep you from doing normal things.\n- When your child is anxious or worried, help them talk about their feelings.\n### Behavior Scale: How to Judge Severity\n- **Mild Symptoms:** symptoms do not keep the child from any normal activities. School, play, relationships and sleep have not changed. Treatment: parenting groups or books.\n- **Moderate Symptoms:** symptoms keep the child from doing some normal activities. New behaviors mainly happen at home. They affect how the child and parent interact. They may also keep him or her from going to child care or school. Your child may not sleep well because of these symptoms. Treatment: most often, brief counseling from a mental health provider or your child's doctor.\n- **Severe Symptoms:** symptoms keep the child from doing most normal activities. They affect the way the child acts with parents. Symptoms also impact relations with siblings and friends. Adults at child care or school may also be impacted by the child's actions. Treatment: these patients often need to be seen urgently by a mental health provider.\n## When to Call for Panic Attack\n### Call 911 Now\n- Severe trouble breathing (struggling for each breath, can barely speak)\n- Acts or talks confused\n- You think your child has a life-threatening emergency\n### Call Doctor or Seek Care Now\n- Anxiety attack (has been diagnosed in the past), but care advice is not helping\n- Child is very upset; can't be calmed down (or call 988, the Suicide and Crisis Lifeline)\n- You want an urgent psych exam for your child\n- You think your child needs to be seen, and the problem is urgent (or call 988, the Suicide and Crisis Lifeline)\n### Contact Doctor Within 24 Hours\n- You want a referral to a mental health counselor\n- Patient takes psych meds and you have med questions\n- You think your child needs to be seen, but the problem is not urgent\n### Contact Doctor During Office Hours\n- Anxiety or panic attacks have never been diagnosed by a doctor\n- Symptoms of anxiety or fear and won't go to school\n- Symptoms of anxiety or fear interfere with sleep\n- Symptoms of anxiety or fear keep from doing normal things\n- You have other questions or concerns\n### Self Care at Home\n- Anxiety attack (panic attack) was diagnosed in the past\n- Normal anxiety symptoms\n## Care Advice for Anxiety Attack\n#### What You Should Know About an Anxiety Attack:\n- During an anxiety attack, your child feels overwhelmed by fear.\n- Sometimes, they even fear that they are dying.\n- Tell your child that the symptoms are scary, but harmless.\n- The symptoms most often stop in less than 30 minutes.\n- Here is some care advice that should help.\n#### Start Exercises to Help Relax:\n- Do anything that has helped in the past.\n- Try to help your child put herself into a relaxed state.\n- How to relax: lie down in a quiet place. Relax each muscle in your body, from head to toe. Take deep, slow breaths. Think about something pleasant. Pretend you are in a favorite place.\n- Since fast breathing is often part of a panic attack, deal with that first.\n- Once breathing is under control, the panic attack will often end.\n#### Slow Your Child's Fast Breathing:\n- Reassure your child they are healthy and the symptoms are from fast breathing.\n- Talk in a calm voice.\n- Getting control of their breathing will often stop the anxiety attack.\n- Help your child slow down to 1 breath every 5 seconds (12 per minute).\n- Try to breathe quietly instead of deeply.\n- Try to do belly-breathing, instead of chest breathing. Move your belly button out and in versus raising the shoulders up and down.\n- Try to breathe through the nose with the mouth closed.\n- Caution: re-breathing into a paper bag is not recommended. Reason: it can make the attack worse.\n#### Anxiety Attacks - Find the Triggers:\n- Try to find the events or triggers that bring on anxiety attacks.\n- Keep a diary of attacks.\n- Write down what happened just before the attack started. Include details of where you were and what you were doing. Also write down the main symptoms, how long it lasted, and what helped.\n- Look for patterns.\n- Avoid events that make your child anxious.\n- If it can't be avoided, teach your child how to cope with those times.\n#### Prevention - Reduce Future Anxiety:\n- Help your child talk about events that trigger the anxiety. Talk about how to cope with these triggers the next time they occur.\n- Help your child worry less about things he or she can't control.\n- Exercise each day. Being active helps manage stress.\n- Teach your child the importance of getting enough sleep (at least 8 hours each night). You can cope with stress better if you get enough sleep.\n- If over-achievement is the cause of your child's anxiety, help your child find more balance.\n- Do something fun and relaxing each day. Examples are playing music, walking, reading, or talking with friends.\n#### Avoid Caffeine Products:\n- Avoid or reduce drinks with caffeine in them. Reason: it is a stimulant and can make anxiety worse.\n- Examples are coffee, tea, colas, and energy drinks.\n#### What to Expect:\n- The symptoms most often stop in less than 30 minutes.\n- Future attacks will happen, so learn how to manage them.\n#### Resource - NAMI Helpline:\n- If your child is already in treatment, call your mental health provider.\n- If not, call your doctor or find a local mental health resource.\n- For non-urgent concerns, go to the [National Alliance on Mental Health (NAMI)](https:\/\/nami.org\/Home) website.\n- **NAMI Helpline** is an information and referral source for finding local mental health programs. Their toll-free phone number is: [1-800-950-NAMI (6264).](tel:8009506264)\n- **NAMI is not a 24\/7 crisis line.**\n- For urgent mental health crises, call the 24\/7 Suicide and Crisis Lifeline: [988\\.](tel:988)\n#### Call Your Doctor If:\n- Anxiety attack does not end within 30 minutes using this advice\n- Anxiety attacks become more frequent\n- Your child has never been seen for these attacks\n- You think your child needs to be seen\n- Your child becomes worse\n\nLast Reviewed: 05\/01\/2025\n\nLast Revised: 01\/25\/2025\n\nCopyright 2000-2025 Schmitt Pediatric Guidelines LLC.","meta_canonical":null}

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Boilerpipe Text	Is this your child's symptom? Anxiety attacks (also called panic attacks). Symptoms are fast, deep breathing (hyperventilation), fast heart rate, feeling dizzy and many others. The body goes on "red alert." Patient feels like they are dying or losing control of their body. Normal anxiety, worries and fears also covered. Anxiety Attacks: Facts Happens in 1-2% of people. Risk factors: anxiety attacks are genetic. They tend to occur in families. Age of onset: teens or young adults Cause: release of stress hormones as when "under attack" Triggers of attacks: life stressors, though many attacks are unexpected Length of attacks: 20-30 minutes How often attacks happen: no set pattern Side effect: patient avoids social settings for fear of having an attack Treatment, if frequent: Cognitive Behavior Therapy (CBT). SSRI meds may also be prescribed by a provider. They can turn down the volume on anxious thoughts. Normal Anxiety and Worries: Anxiety is a normal response to stressful events. It also protects us from real dangers. All people feel anxious at times. It is a normal emotion that will always be part of you. But, anxiety can be managed so that it does not keep you from doing normal things. When your child is anxious or worried, help them talk about their feelings. Behavior Scale: How to Judge Severity Mild Symptoms: symptoms do not keep the child from any normal activities. School, play, relationships and sleep have not changed. Treatment: parenting groups or books. Moderate Symptoms: symptoms keep the child from doing some normal activities. New behaviors mainly happen at home. They affect how the child and parent interact. They may also keep him or her from going to child care or school. Your child may not sleep well because of these symptoms. Treatment: most often, brief counseling from a mental health provider or your child's doctor. Severe Symptoms: symptoms keep the child from doing most normal activities. They affect the way the child acts with parents. Symptoms also impact relations with siblings and friends. Adults at child care or school may also be impacted by the child's actions. Treatment: these patients often need to be seen urgently by a mental health provider. When to Call for Panic Attack Call 911 Now Severe trouble breathing (struggling for each breath, can barely speak) Acts or talks confused You think your child has a life-threatening emergency Call Doctor or Seek Care Now Anxiety attack (has been diagnosed in the past), but care advice is not helping Child is very upset; can't be calmed down (or call 988, the Suicide and Crisis Lifeline) You want an urgent psych exam for your child You think your child needs to be seen, and the problem is urgent (or call 988, the Suicide and Crisis Lifeline) Contact Doctor Within 24 Hours You want a referral to a mental health counselor Patient takes psych meds and you have med questions You think your child needs to be seen, but the problem is not urgent Contact Doctor During Office Hours Anxiety or panic attacks have never been diagnosed by a doctor Symptoms of anxiety or fear and won't go to school Symptoms of anxiety or fear interfere with sleep Symptoms of anxiety or fear keep from doing normal things You have other questions or concerns Self Care at Home Anxiety attack (panic attack) was diagnosed in the past Normal anxiety symptoms Care Advice for Anxiety Attack What You Should Know About an Anxiety Attack: During an anxiety attack, your child feels overwhelmed by fear. Sometimes, they even fear that they are dying. Tell your child that the symptoms are scary, but harmless. The symptoms most often stop in less than 30 minutes. Here is some care advice that should help. Start Exercises to Help Relax: Do anything that has helped in the past. Try to help your child put herself into a relaxed state. How to relax: lie down in a quiet place. Relax each muscle in your body, from head to toe. Take deep, slow breaths. Think about something pleasant. Pretend you are in a favorite place. Since fast breathing is often part of a panic attack, deal with that first. Once breathing is under control, the panic attack will often end. Slow Your Child's Fast Breathing: Reassure your child they are healthy and the symptoms are from fast breathing. Talk in a calm voice. Getting control of their breathing will often stop the anxiety attack. Help your child slow down to 1 breath every 5 seconds (12 per minute). Try to breathe quietly instead of deeply. Try to do belly-breathing, instead of chest breathing. Move your belly button out and in versus raising the shoulders up and down. Try to breathe through the nose with the mouth closed. Caution: re-breathing into a paper bag is not recommended. Reason: it can make the attack worse. Anxiety Attacks - Find the Triggers: Try to find the events or triggers that bring on anxiety attacks. Keep a diary of attacks. Write down what happened just before the attack started. Include details of where you were and what you were doing. Also write down the main symptoms, how long it lasted, and what helped. Look for patterns. Avoid events that make your child anxious. If it can't be avoided, teach your child how to cope with those times. Prevention - Reduce Future Anxiety: Help your child talk about events that trigger the anxiety. Talk about how to cope with these triggers the next time they occur. Help your child worry less about things he or she can't control. Exercise each day. Being active helps manage stress. Teach your child the importance of getting enough sleep (at least 8 hours each night). You can cope with stress better if you get enough sleep. If over-achievement is the cause of your child's anxiety, help your child find more balance. Do something fun and relaxing each day. Examples are playing music, walking, reading, or talking with friends. Avoid Caffeine Products: Avoid or reduce drinks with caffeine in them. Reason: it is a stimulant and can make anxiety worse. Examples are coffee, tea, colas, and energy drinks. What to Expect: The symptoms most often stop in less than 30 minutes. Future attacks will happen, so learn how to manage them. Resource - NAMI Helpline: If your child is already in treatment, call your mental health provider. If not, call your doctor or find a local mental health resource. For non-urgent concerns, go to the National Alliance on Mental Health (NAMI) website. NAMI Helpline is an information and referral source for finding local mental health programs. Their toll-free phone number is: 1-800-950-NAMI (6264). NAMI is not a 24/7 crisis line. For urgent mental health crises, call the 24/7 Suicide and Crisis Lifeline: 988. Call Your Doctor If: Anxiety attack does not end within 30 minutes using this advice Anxiety attacks become more frequent Your child has never been seen for these attacks You think your child needs to be seen Your child becomes worse Remember! Contact your doctor if you or your child develop any "Contact Your Doctor" symptoms. Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it. Last Reviewed: 05/01/2025 Last Revised: 01/25/2025 Copyright 2000-2025 Schmitt Pediatric Guidelines LLC.
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The body goes on "red alert." Patient feels like they are dying or losing control of their body. - Normal anxiety, worries and fears also covered. ### Anxiety Attacks: Facts - Happens in 1-2% of people. - Risk factors: anxiety attacks are genetic. They tend to occur in families. - Age of onset: teens or young adults - Cause: release of stress hormones as when "under attack" - Triggers of attacks: life stressors, though many attacks are unexpected - Length of attacks: 20-30 minutes - How often attacks happen: no set pattern - Side effect: patient avoids social settings for fear of having an attack - Treatment, if frequent: Cognitive Behavior Therapy (CBT). SSRI meds may also be prescribed by a provider. They can turn down the volume on anxious thoughts. ### Normal Anxiety and Worries: - Anxiety is a normal response to stressful events. - It also protects us from real dangers. - All people feel anxious at times. It is a normal emotion that will always be part of you. - But, anxiety can be managed so that it does not keep you from doing normal things. - When your child is anxious or worried, help them talk about their feelings. ### Behavior Scale: How to Judge Severity - Mild Symptoms: symptoms do not keep the child from any normal activities. School, play, relationships and sleep have not changed. Treatment: parenting groups or books. - Moderate Symptoms: symptoms keep the child from doing some normal activities. New behaviors mainly happen at home. They affect how the child and parent interact. They may also keep him or her from going to child care or school. Your child may not sleep well because of these symptoms. Treatment: most often, brief counseling from a mental health provider or your child's doctor. - Severe Symptoms: symptoms keep the child from doing most normal activities. They affect the way the child acts with parents. Symptoms also impact relations with siblings and friends. Adults at child care or school may also be impacted by the child's actions. Treatment: these patients often need to be seen urgently by a mental health provider. ## When to Call for Panic Attack ### Call 911 Now - Severe trouble breathing (struggling for each breath, can barely speak) - Acts or talks confused - You think your child has a life-threatening emergency ### Call Doctor or Seek Care Now - Anxiety attack (has been diagnosed in the past), but care advice is not helping - Child is very upset; can't be calmed down (or call 988, the Suicide and Crisis Lifeline) - You want an urgent psych exam for your child - You think your child needs to be seen, and the problem is urgent (or call 988, the Suicide and Crisis Lifeline) ### Contact Doctor Within 24 Hours - You want a referral to a mental health counselor - Patient takes psych meds and you have med questions - You think your child needs to be seen, but the problem is not urgent ### Contact Doctor During Office Hours - Anxiety or panic attacks have never been diagnosed by a doctor - Symptoms of anxiety or fear and won't go to school - Symptoms of anxiety or fear interfere with sleep - Symptoms of anxiety or fear keep from doing normal things - You have other questions or concerns ### Self Care at Home - Anxiety attack (panic attack) was diagnosed in the past - Normal anxiety symptoms ## Seattle Children's Urgent Care Locations If your child’s illness or injury is life-threatening, call 911. - [Bellevue](https://www.seattlechildrens.org/locations/urgent-care-bellevue/ "Bellevue") - [Everett](https://www.seattlechildrens.org/locations/urgent-care-everett/ "Everett") - [Federal Way](https://www.seattlechildrens.org/locations/urgent-care-federal-way/ "Federal Way") - [Seattle](https://www.seattlechildrens.org/locations/urgent-care-seattle/ "Seattle") - [Virtual Urgent Care](https://www.seattlechildrens.org/clinics/urgent-care-clinic/virtual-urgent-care/ "Virtual Urgent Care") ## Care Advice for Anxiety Attack #### What You Should Know About an Anxiety Attack: - During an anxiety attack, your child feels overwhelmed by fear. - Sometimes, they even fear that they are dying. - Tell your child that the symptoms are scary, but harmless. - The symptoms most often stop in less than 30 minutes. - Here is some care advice that should help. #### Start Exercises to Help Relax: - Do anything that has helped in the past. - Try to help your child put herself into a relaxed state. - How to relax: lie down in a quiet place. Relax each muscle in your body, from head to toe. Take deep, slow breaths. Think about something pleasant. Pretend you are in a favorite place. - Since fast breathing is often part of a panic attack, deal with that first. - Once breathing is under control, the panic attack will often end. #### Slow Your Child's Fast Breathing: - Reassure your child they are healthy and the symptoms are from fast breathing. - Talk in a calm voice. - Getting control of their breathing will often stop the anxiety attack. - Help your child slow down to 1 breath every 5 seconds (12 per minute). - Try to breathe quietly instead of deeply. - Try to do belly-breathing, instead of chest breathing. Move your belly button out and in versus raising the shoulders up and down. - Try to breathe through the nose with the mouth closed. - Caution: re-breathing into a paper bag is not recommended. Reason: it can make the attack worse. #### Anxiety Attacks - Find the Triggers: - Try to find the events or triggers that bring on anxiety attacks. - Keep a diary of attacks. - Write down what happened just before the attack started. Include details of where you were and what you were doing. Also write down the main symptoms, how long it lasted, and what helped. - Look for patterns. - Avoid events that make your child anxious. - If it can't be avoided, teach your child how to cope with those times. #### Prevention - Reduce Future Anxiety: - Help your child talk about events that trigger the anxiety. Talk about how to cope with these triggers the next time they occur. - Help your child worry less about things he or she can't control. - Exercise each day. Being active helps manage stress. - Teach your child the importance of getting enough sleep (at least 8 hours each night). You can cope with stress better if you get enough sleep. - If over-achievement is the cause of your child's anxiety, help your child find more balance. - Do something fun and relaxing each day. Examples are playing music, walking, reading, or talking with friends. #### Avoid Caffeine Products: - Avoid or reduce drinks with caffeine in them. Reason: it is a stimulant and can make anxiety worse. - Examples are coffee, tea, colas, and energy drinks. #### What to Expect: - The symptoms most often stop in less than 30 minutes. - Future attacks will happen, so learn how to manage them. #### Resource - NAMI Helpline: - If your child is already in treatment, call your mental health provider. - If not, call your doctor or find a local mental health resource. - For non-urgent concerns, go to the [National Alliance on Mental Health (NAMI)](https://nami.org/Home) website. - NAMI Helpline is an information and referral source for finding local mental health programs. Their toll-free phone number is: [1-800-950-NAMI (6264).](tel:8009506264) - NAMI is not a 24/7 crisis line. - For urgent mental health crises, call the 24/7 Suicide and Crisis Lifeline: [988\.](tel:988) #### Call Your Doctor If: - Anxiety attack does not end within 30 minutes using this advice - Anxiety attacks become more frequent - Your child has never been seen for these attacks - You think your child needs to be seen - Your child becomes worse Last Reviewed: 05/01/2025 Last Revised: 01/25/2025 Copyright 2000-2025 Schmitt Pediatric Guidelines LLC. ### Should your child see a doctor? 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Readable Markdown	## Is this your child's symptom? - Anxiety attacks (also called panic attacks). - Symptoms are fast, deep breathing (hyperventilation), fast heart rate, feeling dizzy and many others. The body goes on "red alert." Patient feels like they are dying or losing control of their body. - Normal anxiety, worries and fears also covered. ### Anxiety Attacks: Facts - Happens in 1-2% of people. - Risk factors: anxiety attacks are genetic. They tend to occur in families. - Age of onset: teens or young adults - Cause: release of stress hormones as when "under attack" - Triggers of attacks: life stressors, though many attacks are unexpected - Length of attacks: 20-30 minutes - How often attacks happen: no set pattern - Side effect: patient avoids social settings for fear of having an attack - Treatment, if frequent: Cognitive Behavior Therapy (CBT). SSRI meds may also be prescribed by a provider. They can turn down the volume on anxious thoughts. ### Normal Anxiety and Worries: - Anxiety is a normal response to stressful events. - It also protects us from real dangers. - All people feel anxious at times. It is a normal emotion that will always be part of you. - But, anxiety can be managed so that it does not keep you from doing normal things. - When your child is anxious or worried, help them talk about their feelings. ### Behavior Scale: How to Judge Severity - Mild Symptoms: symptoms do not keep the child from any normal activities. School, play, relationships and sleep have not changed. Treatment: parenting groups or books. - Moderate Symptoms: symptoms keep the child from doing some normal activities. New behaviors mainly happen at home. They affect how the child and parent interact. They may also keep him or her from going to child care or school. Your child may not sleep well because of these symptoms. Treatment: most often, brief counseling from a mental health provider or your child's doctor. - Severe Symptoms: symptoms keep the child from doing most normal activities. They affect the way the child acts with parents. Symptoms also impact relations with siblings and friends. Adults at child care or school may also be impacted by the child's actions. Treatment: these patients often need to be seen urgently by a mental health provider. ## When to Call for Panic Attack ### Call 911 Now - Severe trouble breathing (struggling for each breath, can barely speak) - Acts or talks confused - You think your child has a life-threatening emergency ### Call Doctor or Seek Care Now - Anxiety attack (has been diagnosed in the past), but care advice is not helping - Child is very upset; can't be calmed down (or call 988, the Suicide and Crisis Lifeline) - You want an urgent psych exam for your child - You think your child needs to be seen, and the problem is urgent (or call 988, the Suicide and Crisis Lifeline) ### Contact Doctor Within 24 Hours - You want a referral to a mental health counselor - Patient takes psych meds and you have med questions - You think your child needs to be seen, but the problem is not urgent ### Contact Doctor During Office Hours - Anxiety or panic attacks have never been diagnosed by a doctor - Symptoms of anxiety or fear and won't go to school - Symptoms of anxiety or fear interfere with sleep - Symptoms of anxiety or fear keep from doing normal things - You have other questions or concerns ### Self Care at Home - Anxiety attack (panic attack) was diagnosed in the past - Normal anxiety symptoms ## Care Advice for Anxiety Attack #### What You Should Know About an Anxiety Attack: - During an anxiety attack, your child feels overwhelmed by fear. - Sometimes, they even fear that they are dying. - Tell your child that the symptoms are scary, but harmless. - The symptoms most often stop in less than 30 minutes. - Here is some care advice that should help. #### Start Exercises to Help Relax: - Do anything that has helped in the past. - Try to help your child put herself into a relaxed state. - How to relax: lie down in a quiet place. Relax each muscle in your body, from head to toe. Take deep, slow breaths. Think about something pleasant. Pretend you are in a favorite place. - Since fast breathing is often part of a panic attack, deal with that first. - Once breathing is under control, the panic attack will often end. #### Slow Your Child's Fast Breathing: - Reassure your child they are healthy and the symptoms are from fast breathing. - Talk in a calm voice. - Getting control of their breathing will often stop the anxiety attack. - Help your child slow down to 1 breath every 5 seconds (12 per minute). - Try to breathe quietly instead of deeply. - Try to do belly-breathing, instead of chest breathing. Move your belly button out and in versus raising the shoulders up and down. - Try to breathe through the nose with the mouth closed. - Caution: re-breathing into a paper bag is not recommended. Reason: it can make the attack worse. #### Anxiety Attacks - Find the Triggers: - Try to find the events or triggers that bring on anxiety attacks. - Keep a diary of attacks. - Write down what happened just before the attack started. Include details of where you were and what you were doing. Also write down the main symptoms, how long it lasted, and what helped. - Look for patterns. - Avoid events that make your child anxious. - If it can't be avoided, teach your child how to cope with those times. #### Prevention - Reduce Future Anxiety: - Help your child talk about events that trigger the anxiety. Talk about how to cope with these triggers the next time they occur. - Help your child worry less about things he or she can't control. - Exercise each day. Being active helps manage stress. - Teach your child the importance of getting enough sleep (at least 8 hours each night). You can cope with stress better if you get enough sleep. - If over-achievement is the cause of your child's anxiety, help your child find more balance. - Do something fun and relaxing each day. Examples are playing music, walking, reading, or talking with friends. #### Avoid Caffeine Products: - Avoid or reduce drinks with caffeine in them. Reason: it is a stimulant and can make anxiety worse. - Examples are coffee, tea, colas, and energy drinks. #### What to Expect: - The symptoms most often stop in less than 30 minutes. - Future attacks will happen, so learn how to manage them. #### Resource - NAMI Helpline: - If your child is already in treatment, call your mental health provider. - If not, call your doctor or find a local mental health resource. - For non-urgent concerns, go to the [National Alliance on Mental Health (NAMI)](https://nami.org/Home) website. - NAMI Helpline is an information and referral source for finding local mental health programs. Their toll-free phone number is: [1-800-950-NAMI (6264).](tel:8009506264) - NAMI is not a 24/7 crisis line. - For urgent mental health crises, call the 24/7 Suicide and Crisis Lifeline: [988\.](tel:988) #### Call Your Doctor If: - Anxiety attack does not end within 30 minutes using this advice - Anxiety attacks become more frequent - Your child has never been seen for these attacks - You think your child needs to be seen - Your child becomes worse Last Reviewed: 05/01/2025 Last Revised: 01/25/2025 Copyright 2000-2025 Schmitt Pediatric Guidelines LLC.
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