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We all have anxiety from time to time. But when panic attacks are so sudden and intense that they affect our daily lives, or make us avoid parts of our lives, it may be time to seek help.

What is panic disorder?

Panic disorder is an anxiety disorder where a person experiences sudden and recurrent attacks of intense fear or discomfort, called panic attacks, which can happen unexpectedly and for no apparent reason.

Symptoms of panic attacks

The symptoms of panic attacks can vary, but often include:

  • Heart palpitations or rapid heartbeat
  • Sweating
  • Trembling or shaking
  • Feeling of suffocation
  • Shortness of breath
  • Chest pain or discomfort
  • Nausea or upset stomach
  • Dizziness or unsteadiness
  • Feeling of fainting
  • Heat or cold waves
  • Numbness or tingling
  • Fear of losing control

These symptoms are often so intense that they create a strong fear of future attacks, which can lead to avoidance behaviours.

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Causes of panic disorder

The causes of panic disorder can be many and include genetic, biological, environmental and psychological factors. Stress, especially prolonged stress, is often a significant trigger. Other risk factors may include:

  • Family history of panic disorder or other anxiety disorders
  • Significant life changes or stressful events
  • Previous psychological trauma or PTSD
  • Tendency to be more sensitive to stress or negative emotions
  • Certain medical conditions or medications

Treatment of panic disorder

Treatment for panic disorder can involve a combination of therapy, medication and self-help strategies. The most effective forms of treatment are:

  • Cognitive Behavioural Therapy (CBT): CBT is a highly effective therapy for treating panic disorder. It aims to identify and change negative thought patterns and behaviours that contribute to panic disorder.
  • Medication: Medications such as antidepressants and anxiolytics can help control the symptoms of panic disorder.
  • Lifestyle changes: Regular exercise, a healthy diet, adequate sleep, and avoiding alcohol and caffeine can help reduce the frequency and intensity of panic attacks.
  • Breathing techniques and relaxation exercises: These techniques can help manage the physical symptoms of panic disorder during an attack.

Managing panic disorder in everyday life: practical tips and strategies

Managing panic disorder in everyday life requires both understanding and patience. It is important to remember that each person’s experience is unique, and what works for one person may not work for another. Here are some practical tips and strategies that can help you deal with panic disorder:

  1. Identify triggers: Learn to recognize the situations, thoughts or feelings that trigger your panic attacks. Understanding these triggers can help you deal with an attack more effectively.
  2. Breathing exercises and relaxation techniques: Practice deep breathing or mindfulness techniques to reduce tension and stress. Use relaxation exercises such as progressive muscle relaxation to reduce physical anxiety.
  3. Self-help strategies: Keep a diary to document your thoughts and feelings. This can provide insights into patterns and thus help you to work through your feelings. Use positive self-talk and affirmations to combat negative thoughts and increase self-confidence.
  4. Healthy lifestyle: Exercise regularly to reduce stress and improve your overall health. Eat a balanced diet and get enough sleep. Avoid caffeine, alcohol, and other substances that can exacerbate anxiety.
  5. Seek support: Talk openly about your experiences and feelings with friends and family. Join a support group where you can share experiences and get advice from others with similar experiences.
  6. Professional help: Consider seeing a psychologist or therapist regularly to help you develop effective coping strategies. Follow any medical treatment prescribed by your doctor.

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Challenges and solutions

  • Negative self-criticism: Turn self-criticism into constructive self-reflection. Ask yourself, “Is this true?” and “How can I improve?”
  • Comparison with others: It’s essential to focus on our personal growth rather than comparing ourselves to others, as everyone has their journey.

When panic disorder affects your work

Panic disorder can have a significant impact on your work ability and performance. It is important to find ways to manage your anxiety in the workplace:

  • Create a calm and comfortable working environment.
  • Take regular breaks to avoid overwhelming stress.
  • Discuss your situation with your employer or HR department to explore possible accommodations that can support you.

Understanding and accepting

It’s important to understand and accept that you have a panic disorder. Acknowledging and accepting your condition can help you become more aware of your needs and how best to take care of yourself. Remember, recovery from panic disorder is a process and it can take time. Be patient with yourself and acknowledge any progress you make. You’re not alone, and Lavendla’s therapists are here to help you navigate through this challenge.

Remember that recovery from panic disorder is a process and can take time. Be patient with yourself and acknowledge any progress you make. You are not alone and Lavendlas therapists are happy to help you navigate through this challenge.

Creating a long-term panic disorder management plan

Managing panic disorder is not just a matter of mastering short-term techniques; it is also about developing a long-term plan to manage and reduce its impact on your life. Here are some steps you can take to create such a plan:

  1. Regular follow-ups with health professionals: It is important to regularly meet with your doctor or therapist to monitor your progress and adjust the treatment plan as needed. Additionally, be receptive to new treatment methods or therapies that may be more effective.
  2. Develop a crisis plan: It’s essential to have a plan to deal with panic attacks and to inform those around you about how they can help in case you experience one.
  3. Prevention strategies: Reduce stress by managing time, relaxing, and saying no to commitments. Create a healthy routine with exercise and hobbies.
  4. Continuous learning and self-development: It’s essential to continue learning about panic disorder and attend workshops, courses or online seminars to expand your understanding and skills in managing anxiety.
  5. Building a supportive network: Maintain relationships with supportive people. Consider joining self-help groups or online forums to connect with others facing similar challenges.

Integrating coping into your daily life

Create small daily routines to help you manage your anxiety, such as doing breathing exercises every morning. Pay attention to your mental health and adjust your lifestyle when necessary.

Measuring your progress

Set realistic goals for your recovery and celebrate the small successes. Reflecting regularly on how you have dealt with challenges and what you have learned from them can help you see your progress more clearly. Remember that dealing with panic disorder is a personal journey. What works for one person may not work for another. Be kind to yourself and remember that every step you take, no matter how small it may seem, is a step forward on your journey to wellness.

Living with and overcoming panic disorder

Dealing with panic disorder can be a lifelong journey but it’s important to keep a future perspective. Looking forward and planning for the future can be a powerful part of recovery. Here are some ways to build a positive future while dealing with panic disorder:

1. Set long-term goals

  • Think about what you want to achieve in your life, whether it’s in your career, personal relationships or hobbies.
  • Set realistic, long-term goals that motivate you and give your life direction.

2. Adjust your expectations

  • Be realistic about what you can achieve and allow yourself to adjust your expectations and goals when necessary.
  • Understand that it is okay to have days when you are not at your best and that recovery often means two steps forward and one step back.

3. Encourage personal development

  • Engage in activities that promote personal growth, such as learning new skills or participating in training programs.
  • See your management of panic disorder as part of your personal development journey.

4. Building and maintaining relationships

  • Continue to cultivate strong relationships with family, friends and colleagues.
  • Be open with your loved ones about your journey and tell them how they can support you.

5. Focus on health and wellbeing

  • Prioritize your physical and mental health through a balanced diet, regular exercise and sufficient sleep.
  • Practice regular self-care to keep stress and anxiety at a manageable level.

6. Consider lifelong learning

  • Continue to learn about panic disorder and related health conditions.
  • Be open to new treatments and research that may offer additional support.

Living with panic disorder does not necessarily imply that your life is restricted or confined in any way. With the right support, strategies, and a willingness to learn and grow, you can live a full and meaningful life. However, it is important to remember that each person’s journey is unique, and what is most important is that you continue to move forward at your own pace.

Understanding and managing panic disorder

In this section, we go deeper into understanding and managing panic disorder. We will explore the underlying mechanisms, advanced management techniques, and ways to build a stronger foundation for long-term management and recovery.

Understanding the underlying mechanisms

Biological factors: Research indicates that anxiety involves the amygdala and hormones such as adrenaline and cortisol.

Psychological factors: Your thought patterns and cognitive distortions can contribute to and reinforce panic disorder.

Social and environmental factors: Stressors in your environment, such as work pressure or personal relationships, can affect your anxiety.

Advanced management techniques

Exposure therapy: This form of treatment involves gradual and controlled exposure to the situations or objects that trigger your anxiety to reduce fear and avoidance behaviours.

Mindfulness: Deepen your knowledge of mindfulness and how it can be used to manage panic disorder by practising being present in the moment and accepting your feelings without judging them.

Advanced breathing techniques: To regulate your nervous system, explore more advanced techniques, such as diaphragmatic breathing or yoga breathing, beyond basic breathing exercises.

Building a stronger foundation for long-term management

Personal development and self-awareness: Focus on personal development to increase self-awareness and understand the impact of personality and life experiences on anxiety management.

Creating and maintaining routines: Establish daily and weekly routines that prioritize mental health, including regular exercise, healthy eating, and relaxation techniques.

Long-term stress management strategies: Develop a long-term stress management strategy that includes time management, setting realistic expectations, and seeking support when needed.

To better understand and effectively manage panic disorder, it is important to take a holistic approach that addresses both physical and mental health. Additionally, it is important to understand the personal and environmental factors that contribute to anxiety. Remember that every step you take towards this journey of healing is valuable and will help you become stronger and more resilient in the future.


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20 FAQs about Panic Attacks

What are the symptoms of panic disorder?

Panic disorder is characterized by sudden and intense feelings of fear or anxiety. Symptoms may include heart palpitations, sweating, trembling, difficulty breathing, chest pain, nausea, and a feeling of losing control or fear of dying. These symptoms can occur unexpectedly and often without any apparent reason, creating a palpable fear of further attacks.

What can be done about panic disorder?

Effective treatments exist for panic disorder, including psychotherapy such as Cognitive Behavioural Therapy (CBT) and medication in some cases. In addition, self-help techniques such as deep breathing exercises and relaxation techniques can also be useful. It is crucial to seek professional help to create an individualized treatment plan. Along with treatment, adopting a healthy lifestyle, including regular exercise and a balanced diet, can also aid in reducing symptoms.

What is the difference between panic disorder and anxiety?

Anxiety is a term used to describe a feeling of nervousness, worry, or fear and is often a normal response to stress. Panic disorder, however, refers to specific episodes of intense fear or panic. Anxiety can persist for a longer period of time, while panic disorder usually occurs suddenly and acutely. As a result, the treatment for each condition is different.

What is the difference between panic attack and panic disorder?

A panic attack is a sudden and overwhelming wave of fear or anxiety that typically lasts for a few minutes and can cause a range of symptoms such as heart palpitations and breathing difficulties. Panic disorder is a condition characterized by recurrent and unexpected panic attacks, often accompanied by a constant fear of future attacks and changes in behaviour to avoid situations that may trigger them.

How long does a panic attack usually last?

A panic attack typically lasts between 5 and 20 minutes. However, the symptoms may feel intense and overwhelming during this time, and some people may experience prolonged or consecutive attacks, making it feel like the attack is lasting longer.

Can panic disorder lead to other health problems?

If a panic disorder is left untreated, it can cause additional health issues such as depression, other anxiety disorders, or avoidant behaviour that can restrict a person’s daily activities and overall quality of life. Therefore, it is crucial to seek professional help if you experience any symptoms of panic disorder.

Is panic disorder hereditary?

Research shows that panic disorder may have a genetic component, meaning that there may be an increased risk if a close relative has the condition. However, environmental factors and personal experiences also play a role in the development of panic disorder.

Can children and young people get panic disorder?

Yes, it is possible for children and adolescents to experience panic disorder. The symptoms may resemble those seen in adults, but young people might find it harder to communicate their emotions. It’s crucial to be vigilant for signs of anxiety in children and youth and seek expert assistance if necessary.

Are there any lifestyle changes that can help with panic disorder?

Yes, some lifestyle changes can help reduce the symptoms of panic disorder. These include regular exercise, a healthy diet, getting enough sleep, avoiding caffeine and alcohol, and practising stress management techniques such as meditation and yoga. It is also important to maintain a work-life balance.

Can exercise and training help reduce panic disorder?

Regular physical activity has been proven to be an effective way to lessen the symptoms of panic disorder. Exercise aids in releasing endorphins, which are the body’s natural mood enhancers and can help to lower stress levels. Light to moderate exercises, such as walking, jogging, yoga, and swimming, are typically suggested.

How can I help someone experiencing a panic attack?

If someone is experiencing a panic attack, be calm and supportive. Encourage the person to breathe slowly and deeply, which can help reduce symptoms. Listen without judgment and offer a calm and safe space. Avoid downplaying their feelings and encourage them to seek professional help.

Do diet and nutrition affect panic attacks?

Although diet and nutrition do not directly cure panic disorder, a balanced diet can help to manage the symptoms better. Eating regularly to stabilise blood sugar levels and avoiding large amounts of caffeine and sugar can help prevent panic attacks.

Can panic disorder be completely cured?

Panic disorder is a treatable condition. Many people experience great relief from their symptoms through treatment, such as therapy and sometimes medication. While there may not be a cure in the traditional sense, people can learn to manage and reduce their symptoms effectively.

What role do relaxation techniques play in the management of panic disorder?

Relaxation techniques such as deep breathing, progressive muscle relaxation and mindfulness can effectively manage panic disorder. These practices help calm the mind and body, reducing the frequency and intensity of panic attacks.

What type of psychotherapy is recommended for panic disorder?

Cognitive Behavioural Therapy (CBT) is one of the most effective forms of psychotherapy for the treatment of panic disorder. CBT focuses on identifying and changing negative thought patterns and behaviours that contribute to panic attacks. It helps individuals develop strategies to manage and reduce the frequency of panic attacks.

Can relaxation exercises prevent panic attacks?

Yes, regular relaxation exercises can help prevent panic attacks by reducing overall stress and anxiety levels. Techniques such as deep breathing, mindfulness, meditation and progressive muscle relaxation can be particularly useful in maintaining a calm and relaxed state of mind.

Is it common to relive panic attacks after treatment?

It is not uncommon to experience recurrent periods of panic disorder even after successful treatment. Relapses can be managed by continued use of the strategies taught in therapy and, if necessary, further sessions with a therapist. It is important not to see this as a failure but as part of the ongoing management process.

Can lifestyle changes replace the need for therapy or medication?

While lifestyle changes can help reduce symptoms of panic disorder, they should not be seen as a substitute for professional therapy or medication. These are complementary strategies that can improve the overall effectiveness of treatment.

Are there natural remedies or supplements that can help with panic disorder?

Some natural remedies and supplements, such as chamomile, omega-3 fatty acids, and magnesium, can have calming effects and potentially help manage mild anxiety. However, it is important to consult a doctor before starting any supplements, especially if you already take other medications.

Does sleep quality affect the risk of panic disorder?

Yes, sleep quality can have a major impact on the risk of panic attacks. Insufficient or disrupted sleep can increase sensitivity to stress and anxiety, which can lead to or worsen panic attacks. Maintaining good sleep habits is an important part of panic disorder management.

Can alcohol and drugs affect panic disorder?

Alcohol and drugs can have a negative impact on panic disorder. While some people may use these substances to self-medicate, they can increase the frequency and intensity of panic attacks in the long term and even lead to addiction and other health problems.

Is panic disorder more common in women than men?

Studies have shown that panic attacks are more common in women than men. This may be partly due to biological, hormonal and psychosocial factors. It is important that both genders seek and access appropriate treatment to manage their condition.

What role do family and friends play in the management of panic disorder?

Breathing exercises play an important role in managing panic disorder. They help control the hyperventilation that often occurs during a panic attack. Slow, deep breaths can reduce symptoms such as palpitations and dizziness and help restore a sense of calm.

Can panic disorder be confused with other health conditions?

Yes, panic disorder can sometimes be confused with other health conditions, especially heart-related problems, as some symptoms, such as chest pain and palpitations, are common. Getting a thorough medical evaluation to rule out other possible causes of the symptoms is important.

Can dietary changes have an impact on panic disorder?

Yes, dietary changes can affect panic disorder. A well-balanced diet rich in omega-3 fatty acids, magnesium and B vitamins can help reduce anxiety. Avoiding high amounts of caffeine and sugar can also be beneficial, as these can trigger or worsen panic disorder symptoms.

How can I distinguish between a panic attack and a heart problem?

The symptoms of a panic attack and some heart problems can be similar. However, a panic attack is often characterized by a sudden onset of intense fear or anxiety with symptoms such as palpitations, sweating and trembling. At the same time, heart problems may have more constant physical symptoms such as chest pain and shortness of breath. It is important to seek medical assessment for proper diagnosis.

Does alcohol affect panic attacks?

Alcohol can temporarily reduce anxiety, but regular or heavy drinking can increase the risk of panic attacks and worsen panic disorder over time. Alcohol affects the central nervous system and can lead to increased anxiety levels as the effect wears off.

Can regular meditation help with panic attacks?

Yes, regular meditation can be an effective method of reducing the symptoms of panic disorder. Meditation helps to promote relaxation and stress management, which can reduce the frequency and intensity of panic attacks.

What role do family and friends play in the management of panic disorder?

Family and friends’ support is crucial to managing panic disorder. They can offer emotional support, encourage seeking and continuing treatment, and help create an understanding and supportive environment. A strong support group can make a big difference in recovery.

How can deep breathing exercises help during a panic attack?

Deep breathing exercises can be very effective during a panic attack. They help control hyperventilation and promote a sense of calm. Focusing on slow, deep breaths in and out can reduce the intensity of symptoms such as heart palpitations and tremors.

Can panic disorder lead to phobias?

Yes, in some cases panic attacks can lead to the development of specific phobias, particularly agoraphobia. This occurs when a person starts to avoid places or situations where they previously had panic attacks, for fear of it happening again.

Are there specific triggers for panic attacks?

Triggers for panic attacks can vary widely from person to person. Some common triggers include stress, fatigue, caffeine or certain medications. It is important for each individual to identify their own triggers to manage and prevent future attacks.

Can panic disorder get worse with age?

There is no hard and fast rule about how panic disorder develops over time. For some, symptoms may remain constant, while others may experience an improvement or worsening. However, treatment and management techniques can help improve symptoms regardless of age.

How common is it to recover fully from panic disorder?

Many people experience a significant improvement in their symptoms and can return to normal activities with the right treatment and support. Although ‘full recovery’ may vary, effective management of panic disorder can lead to a high quality of life and reduced impact of the anxiety on daily life.

Steps towards managing panic disorder

Panic disorder is a sudden wave of intense worry and fear. Symptoms can be overwhelming, including heart palpitations, sweating, trembling, and a sense of impending disaster. This mental health challenge can feel lonely and scary, but it is important to remember that you are not alone. The first step towards recovery is to understand what panic disorder is and how it can be managed.

Treatment for panic disorder usually involves a combination of therapy and sometimes medication. The aim is to reduce the frequency and intensity of panic attacks and to increase your understanding and management of them.

Step 1: Seek professional help

The first and perhaps most important step is recognising the need for help. Getting in touch with a psychologist or therapist through Lavendla can be a brave first step. A therapist or psychologist can give you tools and support to manage your panic disorder.

Step 2: Therapeutic treatments

After diagnosis, your healthcare provider may recommend different treatment methods:

Cognitive Behavioural Therapy (CBT): Helps identify and change negative thought patterns that contribute to panic attacks.

Exposure Therapy: exposure to the situations that trigger your anxiety in a controlled environment.

Relaxation techniques: breathing exercises, meditation, and yoga can reduce symptoms.

Step 3: Medical treatment

In some cases, medication may be necessary to manage the symptoms of panic disorder. This may include antidepressants or anti-anxiety medication.

Step 4: Self-help and support groups

Self-help strategies: Diary writing and self-awareness can help you understand and manage your triggers.

Support groups: Sharing experiences with other panic disorder sufferers can be very supportive.

Step 5: Lifestyle changes

Healthy habits such as regular exercise, a balanced diet, and good sleep hygiene can help reduce the frequency and intensity of panic attacks.

We make the hard part easier by offering support and guidance through each step in managing the panic disorder. The first step is often the hardest, but with the right support and treatment, there is a way to a calmer and more controlled life. Contact a Lavendla psychologist today to start managing your panic disorder.


Written by Samantha Pieterse

Sr. Samantha Pieterse is a registered psychiatric nurse who is deeply committed to mental health and well-being. Samantha brings a unique and valuable perspective to her role as an editor for Lavendla South Africa. She has worked in Government and Private mental healthcare institutions in Gauteng and her expertise ensures that the articles on our website are accurate and accessible. Samantha is dedicated to enhancing mental health awareness and education in South Africa.