A panic attack is the abrupt onset of intense fear or discomfort that reaches a peak within minutes and includes at least four of the following symptoms:
- Palpitations, pounding heart, or accelerated heart rate
- Trembling or shaking
- Sensations of shortness of breath or smothering
- Feelings of choking
- Chest pain or discomfort
- Nausea or abdominal distress
- Feeling dizzy, unsteady, light-headed, or faint
- Chills or heat sensations
- Paresthesia (numbness or tingling sensations)
- Derealization (feelings of unreality) or depersonalization (being detached from oneself) Listen to this podcast.
- Fear of losing control or “going crazy”
- Fear of dying
Some people experience what is referred to as limited-symptom panic attacks, which are similar to full-blown panic attacks but consist of fewer than four symptoms.
Although anxiety is often accompanied by physical symptoms, such as a racing heart or knots in your stomach, what differentiates a panic attack from other anxiety symptoms is the intensity and duration of the symptoms. Panic attacks typically reach their peak level of intensity in 10 minutes or less and then begin to subside. Due to the intensity of the symptoms and their tendency to mimic those of heart disease, thyroid problems, breathing disorders, and other illnesses, people with panic disorder often make many visits to emergency rooms or doctors' offices, convinced they have a life-threatening issue.
Panic attacks can occur unexpectedly during a calm state or in an anxious state. Although panic attacks are a defining characteristic of panic disorder, it is not uncommon for individuals to experience panic attacks in the context of other psychological disorders. For example, someone with social anxiety disorder might have a panic attack before giving a talk at a conference and someone with obsessive-compulsive disorder might have a panic attack when prevented from engaging in a ritual or compulsion.
Panic attacks are extremely unpleasant and can be very frightening. As a result, people who experience repeated panic attacks often become very worried about having another attack and may make changes to their lifestyle so as to avoid having panic attacks. For example, avoiding exercise so as to keep their heart rate low, or avoiding certain places.
In the past it might have taken months or years and lots of frustration before getting a proper diagnosis. Some people are afraid or embarrassed to tell anyone, including their doctors or loved ones about what they are experiencing for fear of being seen as a hypochondriac. Instead they suffer in silence, distancing themselves from friends, family, and others who could be helpful. Other people suffering from panic attacks don't know they have a real and highly treatable disorder. It is our hope that through increased education, people will feel more empowered to discuss their symptoms with a healthcare professional and seek appropriate treatment.
- Blog Post - Helping Your Anxious Teen Cope with a Panic Attack by Sheila Achar Josephs, PhD
- Blog Post - Panic Attack or Heart Attack? by Reid Wilson, PhD, and Mark Pollack, MD
- Webinar - Managing Coronavirus Anxiety Part 3 - Expert Tips and Strategies - by Ken Goodman, LCSW, Debra Kissen, PhD, MHSA, David H. Rosmarin, PhD, ABPP
- Webinar - Ataques de pánico/Panic Attacks
- Webinar - Coping With Panic Attacks by Jenny Yip, PsyD, ABPP
- ADAA members Stefan Hoffmann, PhD, Aleena Hay, PhD and their Boston University colleague Abigail Barthal, BA discusses panic attacks and panic disorder: symptoms, treatment, causes, and coping strategies in this in-depth Anxiety.org article.
- Screen yourself or a family member for panic disorder.
Facing Panic: Self-Help Facing Panic: Self-Help for People with Panic Attacks
by Reid Wilson, ADAA Publication, 2019