Overview
A panic attack is a sudden surge of intense fear that peaks within 10 minutes and typically resolves in 20–30. Symptoms feel like a medical emergency — that's the point. First-time panic still deserves medical evaluation to rule out mimics.
Symptoms to watch for
- Racing or pounding heart
- Sweating and trembling
- Shortness of breath or choking sensation
- Chest pain or tightness
- Nausea or GI upset
- Dizziness or feeling faint
- Numbness or tingling in hands/face
- Fear of dying or losing control
What else could this be?
- Cardiac arrhythmia (SVT)
- Hyperthyroidism
- Hypoglycemia
- Pheochromocytoma (rare)
- Substance intoxication or withdrawal
How it's diagnosed
Clinical after ruling out medical mimics. ECG and TSH commonly ordered for first-time attacks.
Treatment
Acute: slow paced breathing, grounding, reassurance. Long-term: SSRIs and CBT are first-line. Beta-blockers can help physical symptoms. Clindle doesn't prescribe benzodiazepines.
When to book a visit
Book after a panic attack for a workup and long-term plan.
Book online todayFrequently asked
Panic attack vs heart attack?
Panic attacks resolve in under 30 minutes and repeat; cardiac chest pain often lasts and worsens with exertion. When in doubt, get an ECG.