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What is a Panic Attack?

A panic attack is a sudden surge of intense fear or discomfort that quickly reaches its peak and causes a range of physical and emotional panic disorder symptoms. While panic attacks are not dangerous, they can feel extremely overwhelming and may leave individuals feeling frightened, helpless, or out of control.

Many people experiencing panic attack symptoms for the first time believe they are having a medical emergency, such as a heart attack or stroke. Although panic attacks are not life-threatening, the physical sensations can feel very real and intense. Panic attacks may occur unexpectedly, even during moments of calm, or develop during periods of heightened stress and anxiety.

The most intense panic disorder symptoms often peak within 10 to 30 minutes, though lingering physical and emotional discomfort may continue for hours afterward. During a panic attack, individuals commonly experience four or more symptoms that escalate rapidly within minutes, including:

  • Pounding heart, palpitations, or fast heart rate
  • Sweating
  • Shaking or trembling
  • Shortness of breath or feeling smothered
  • Feelings of choking
  • Chest pain or discomfort
  • Nausea or stomach upset
  • Feeling dizzy, unsteady, lightheaded, or faint
  • Chills or heat sensations
  • Numbness or tingling sensations (often in the extremities)
  • Things not feeling real, or feeling detached from oneself
  • Fear of losing control or “going crazy”
  • Fear of dying

Because panic disorder symptoms can closely resemble serious medical conditions such as heart attacks, many people seek emergency medical care during their first episode. After receiving an accurate diagnosis and beginning panic disorder treatment through therapy, medication management, or both, most individuals learn effective strategies to manage symptoms and reduce future panic attacks.

What is Panic Disorder?

Panic disorder is a type of anxiety disorder characterized by recurring, unexpected panic attacks and ongoing fear of having more attacks. People with panic disorder often worry about when the next attack will happen and may start avoiding places or situations where previous attacks occurred. This can lead to significant disruptions in daily life. Unlike a single panic attack, which can happen to anyone, panic disorder involves a pattern—frequent panic attacks combined with persistent anxiety about them. With the right treatment, including therapy and sometimes medication, many people find relief and regain control over their lives.

How Common Are Panic Attacks?

Panic attacks and panic disorder symptoms are more common than many people realize. Each year, more than 10% of adults in the United States experience at least one panic attack, and women are diagnosed at higher rates than men. Approximately 2–3% of adults meet the diagnostic criteria for panic disorder, making early diagnosis and effective panic disorder treatment especially important.

Personalized Panic Disorder Treatment Options

Effective panic disorder treatment often includes a combination of psychotherapy, medication management, and practical coping strategies tailored to each individual’s symptoms and goals.

Therapy for Panic Disorder Symptoms

Therapy is considered one of the most effective approaches for treating panic disorder symptoms. Depending on each patient’s needs, treatment may include the following evidence-based strategies:

  • Psychoeducation to help patients better understand panic attacks, anxiety, and panic disorder symptoms
  • Mindfulness exercises, such as breathing exercises and grounding techniques to manage symptoms during a panic attack
  • Cognitive behavioral therapy (CBT) to identify and reframe anxious thought patterns
  • Lifestyle guidance focused on sleep, hydration, stress management, and overall wellness
  • Exposure therapy to gradually reduce fear around panic triggers and avoided situations
  • Interoceptive exposure techniques that safely recreate physical panic sensations, helping patients learn that symptoms are uncomfortable but not dangerous

Our psychotherapy services for panic attacks and panic disorder treatment are available both in person and through secure online therapy appointments for patients in most U.S. states.

Medication Management for Panic Disorder

Medication management can play an important role in panic disorder treatment, especially for individuals experiencing frequent or severe panic disorder symptoms. Providers may recommend SSRIs (selective serotonin reuptake inhibitors), which are commonly prescribed to help regulate anxiety symptoms and reduce the frequency and intensity of panic attacks.

In some cases, providers may prescribe as-needed medications such as beta blockers or benzodiazepines for short-term relief of acute panic attack symptoms. These medications may help individuals who recognize early warning signs before situations such as public speaking, travel, or periods of heightened stress. Medication recommendations are always personalized based on each patient’s medical history, symptoms, and treatment goals.

States Where Online Panic Disorder Medication Management is Available

  • California
  • Delaware
  • Florida
  • Maryland
  • Massachusetts
  • New Jersey
  • New York
  • Pennsylvania
  • US Virgin Islands

When to Seek Help for Panic Disorder Symptoms

We recommend that individuals schedule a psychiatric evaluation for Panic and/or Panic Attack Disorder if they experience any of the following symptoms:

  • Avoidance of situations due to panic symptoms
  • Panic symptoms interfering with academic or occupational life
  • Panic symptoms interfering with social life or relationships
  • Panic and anxiety affecting sleep, energy, focus, or appetite
  • Feelings of hopelessness
  • Subjective high levels of anxiety or stress.
  • Crying episodes
  • If one is utilizing poor coping mechanisms (alcohol or substance use, gambling, self-harm) in an attempt to cope with panic symptoms or fear of panic attacks.
  • Suicidal thoughts

If you have suicidal thoughts, call 911 or 988. Do not wait for an appointment.

In-Person Panic Disorder Treatment Locations

Start Personalized Panic Disorder Treatment Today

At Rittenhouse Psychiatric Associates, we provide exceptional Panic Disorder treatment through our team of highly qualified professionals and patient-centered approach, including:

  • Comprehensive Diagnosis: Accurate diagnosis via detailed evaluations.
  • Personalized Treatment: Tailored care plans for every patient’s unique needs.
  • Board-Certified Professionals: Psychiatrists and Psychiatric Nurse Practitioners.
  • Highly Qualified Therapists: Licensed and Doctoral-Level Psychologists.
  • Academic Excellence: We have providers with teaching experience at renowned institutions such as Johns Hopkins and the University of Pennsylvania.
  • Comprehensive Care: Expertise in treating co-occurring psychiatric conditions.
  • Accessible Appointments: Appointments generally available within 2 weeks.
  • Flexible Options: In-office and online virtual appointments.
  • Inclusive Environment: Our providers are welcoming to all individuals.

Contact

Schedule Panic Disorder Treatment with Rittenhouse Psychiatric Associates

Panic disorder symptoms can feel overwhelming, but effective support is available. Our team is here to help you explore personalized panic disorder treatment options and develop practical strategies for long-term symptom relief.

Schedule a consultation to discuss your symptoms, treatment goals, and care preferences. Our experienced providers offer both in-person and secure online panic disorder treatment designed to help you regain confidence and emotional stability.

Find a Rittenhouse Psychiatric Associates location near you or schedule an online consultation for panic disorder treatment today.

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Panic Attacks & Disorders FAQ

Do You Offer Both In-office and Virtual Online Psychiatric Appointments for the Treatment of Panic Attack Disorder?

Yes, we offer both in-office and virtual online psychiatric appointments for the treatment of Panic and its symptoms.

What is Happening in the Body During a Panic Attack?

A part of the brain called the amygdala (which helps with emotional processing) perceives threats via the 5 senses and sends an alarm to the hypothalamus in the brain. The hypothalamus communicates to the sympathetic nervous system to get the body ready to respond to danger. The adrenal glands are activated to release epinephrine (aka adrenaline) into the body. This causes many changes such as increased heart rate (to make blood flow faster), faster breathing, airways in the lungs opening wide, and stored nutrients entering the blood to supply more energy to the entire body.

The above processes happen so fast that we are not aware of them. Our body can react before we consciously decide how we’d like to react. Sometimes this process occurs when there is no threat at all. When there is a real danger (let’s say a snarling dog breaks out of his fence while you’re on a walk nearby) it is a useful response. You’ll be able to run and act faster than usual. When there is not a real threat (let’s say you have to give a presentation to some coworkers, or you are just sitting watching TV) this is not a useful response, and it feels very scary for the body to do all of this when it’s unwarranted.

Does panic disorder ever go away?

Panic disorder is considered a chronic condition, which means it may not fully go away—but that doesn’t mean it can’t be managed. With the right treatment, many people experience fewer and less intense panic attacks, and go on to live full, meaningful lives. Therapy, medication, and lifestyle changes can all help reduce symptoms. While recovery looks different for everyone, getting support early can make a big difference in long-term outcomes.

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