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Panic Episodes

What to Do During a Panic Attack

A step-by-step, evidence-based guide

Written by Dr. Sarah Jenkins, PsyD
9 min
What to Do During a Panic Attack

A panic attack is a sudden episode of intense fear that triggers severe physical reactions. The American Psychological Association reports that many people experience at least one panic attack in their lifetime.

What Happens in Your Body

During a panic attack, your body releases adrenaline. Your heart races, you may feel short of breath, dizzy, or like you’re losing control. This is your nervous system’s alarm system going off.

Immediate Steps

  1. 1. Remind yourself: “This is a panic attack. It will pass.”
  2. 2. Breathe slowly: Try 4-7-8 breathing (inhale 4, hold 7, exhale 8)
  3. 3. Ground yourself: Press your feet into the floor. Feel the surface beneath you.
  4. 4. Cold water: Splash cold water on your face or hold an ice cube.

After the Attack

Once the intensity decreases, be kind to yourself. Many people feel exhausted afterward. Rest if you can. The National Institute of Mental Health recommends seeking professional support if panic attacks become frequent.

Sources: American Psychological Association, National Institute of Mental Health, Cognitive Behavioral Therapy protocols

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