Overcoming Panic Attacks: Effective Management Strategies

Panic attacks can be effectively managed through evidence-based techniques including nervous system reset methods, controlled breathing exercises, rational situation evaluation, and professional grounding strategies, which help individuals regain control during overwhelming episodes while reducing the frequency and intensity of future attacks.

Ever felt like your world was spinning out of control, your heart racing, and your breath caught in your chest? Panic attacks can feel overwhelming and frightening, but you're not alone in this struggle. With the right strategies and support, you can learn to manage these intense moments and regain your sense of control.

How To Manage Panic Attacks Effectively

Panic attacks can be overwhelming and frightening. When experiencing a panic attack, individuals often feel they’re facing a medical emergency or that their life is in danger. The physical sensations can be extremely distressing – shakiness, hyperventilation, ringing in the ears, numbness or tingling in extremities, and chest pain are just some of the symptoms that can occur.

If you’re among those who experience panic disorder, you may find it challenging to control these symptoms during an attack. However, learning effective coping strategies is absolutely possible. There are several techniques you can employ to manage your symptoms and prevent panic attacks from escalating.

Understanding Panic Attacks

Having a clear understanding of what panic attacks are and why they occur can be helpful for those who experience them. Panic attacks are often a stress response triggered when feeling overwhelmed, under pressure, or afraid. They can also be triggered by traumatic events, loss, or perceived threats. During a panic attack, your body’s fight-flight-freeze response activates, creating an overwhelming urge to run, fight, or freeze.

Panic attacks may be associated with various anxiety disorders, including generalized anxiety disorder, social anxiety disorder, and panic disorder. Panic disorder specifically is characterized by recurrent or chronic panic attacks.

Common symptoms of a panic attack include:

• Intense feelings of dread, fear, or anxiety
• Sweating
• Trembling or shaking
• Chest discomfort
• Shortness of breath or difficulty breathing
• Temperature fluctuations (chills or hot flashes)
• Feeling of choking or a “lump” in the throat
• Nausea
• Muscle tension
• Digestive issues
• Dizziness
• Crying
• Strong urges to escape, fight, or freeze
• Feeling disconnected from yourself or reality (dissociation)

Panic attacks can feel like genuine threats to your wellbeing and can be terrifying. They can also be mistaken for other health conditions, such as heart attacks. Understanding how to manage fear is crucial in distinguishing between a panic attack and a true medical emergency.

Effective Strategies for Managing Panic Attacks

Living with panic attacks can be challenging. You might experience stress just thinking about future attacks, and you may not always know what triggers them or how to maintain control when they occur. Everyday situations, relationships, or events can sometimes trigger panic.

During a panic attack, your body and mind can feel completely overwhelmed, making it difficult to interact with or even notice your surroundings. When fear and stress responses take over, regaining control can seem impossible. However, there are specific exercises you can learn to help minimize and sometimes even stop a panic attack. These include:

1. Reset Your Nervous System

Recent research on panic attacks and the nervous system has found that immediate exposure to cold temperatures can interrupt panic symptoms. One study discovered that swimming in cold water stopped panic symptoms in certain individuals. A technique from dialectical behavior therapy (DBT) called the TIP skill addresses this phenomenon. According to DBT, safely applying cold water or an ice pack to your face can help regulate emotional distress. To practice the TIP skill, follow these steps:

1. T: Change your body’s temperature
2. I: Engage in intense exercise
3. P: Practice paced breathing and muscle relaxation techniques

Consider consulting with a licensed clinical social worker at ReachLink if you need guidance with DBT skills.

2. Focus on Your Breathing

Hyperventilation is a common and distressing symptom of panic attacks. During an attack, your breathing often becomes shallow, potentially depriving your body of oxygen and worsening other symptoms.

While people often suggest taking deep breaths during panic, this can be challenging when you’re already hyperventilating. Instead, consider using an app that provides guided breathing exercises. These apps typically feature calming visuals and soothing sounds, and once downloaded, can guide you through breathing exercises by showing when to inhale and exhale. While you may need to try several before finding one that works for you, these apps can be valuable tools for managing panic attacks.

Alternatively, try this box breathing exercise:

1. Inhale for five seconds
2. Hold your breath for four seconds
3. Exhale for five seconds
4. Hold your breath for four seconds

As you begin to calm down, transition to normal breathing. Focus on breathing in through your nose and out through your mouth, paying attention to the sensation.

3. Evaluate the Situation Rationally

Many people mistake panic attacks for medical emergencies. When experiencing a panic attack, try to focus on the facts to assess the actual risk. For instance, symptoms of cardiac events typically last longer than 30 minutes, while panic attacks are usually shorter. If you’re uncertain, consider calling a 24-hour nurse response line for guidance on whether you should seek emergency care.

Ask yourself these questions:

• Have I experienced these symptoms before?
• If so, were they due to a panic attack?
• Do I have a fever or low oxygen level?
• Were there identifiable triggers for how I’m feeling?
• Is there someone I can reach out to for support?

If possible, tell a trusted friend or family member what you’re experiencing. They can stay with you until the panic subsides and provide comfort. Their calming presence might even help prevent panic attacks from developing further in some cases.

Although panic attacks can make you feel like you’re dying, they rarely cause death. However, if you remain uncertain about your physical health after evaluating your situation, seeking medical evaluation at an urgent care facility or emergency room is recommended, as panic attacks can mimic serious medical conditions.

4. Practice Grounding Techniques

During panic attacks, you might experience tunnel vision and struggle to focus on anything beyond your internal sensations or emotions. Grounding techniques can be particularly effective for panic management. Grounding involves focusing on the present moment, reconnecting with your body, and reducing dissociation—a common experience during panic attacks.

When feeling panicked, remind yourself to focus outward by asking:

• What sounds do I hear around me?
• What can I see in front of me?
• How does the surface I’m sitting, standing, or lying on feel?
• Are there any neutral or pleasant smells in my environment?

You can also use the DBT self-soothing technique to engage your five senses once you’re able to move. Find an activity for each sense—for example, wearing soft clothing for touch, watching a calming video for sight, or having a small snack for taste.

If practicing grounding during a panic attack is difficult, consider posting reminders in visible locations or asking someone you trust to help you get started. Your ReachLink therapist can also provide personalized guidance.

Professional Support Through Telehealth Therapy

If you experience frequent panic attacks, seeking professional mental health support is advisable. Panic attacks often stem from stress, trauma, or anxiety. Through counseling with a licensed clinical social worker, you can explore underlying issues and triggers while developing stronger coping strategies to manage panic attacks more effectively.

ReachLink’s telehealth therapy services offer a convenient solution if you have difficulty finding local therapists or struggle with anxiety in public settings. Our platform allows you to connect with licensed clinical social workers through secure video sessions from the comfort of your home. Research has demonstrated that online cognitive-behavioral therapy effectively treats both emotional and physical symptoms of panic and anxiety.

Takeaway

While panic attacks can be frightening and uncomfortable, making you feel powerless, evidence-based coping mechanisms and professional support can help you manage both physical and emotional symptoms effectively.

With guidance from a ReachLink licensed clinical social worker, you can gain deeper insights into what triggers your panic attacks and develop personalized strategies to reduce anxiety. For medical advice or medication options, consult with your primary care physician, as ReachLink does not provide prescription services. Remember that you don’t have to face panic attacks alone—effective support and management strategies are available to help you regain control.