Panic Attacks and Panic Disorder
March 2, 2023, by Gintaras Razaitis
Panic Attacks and Panic Disorder: Differences and Similarities

Panic Attacks and Panic Disorder are like experiencing an extreme reaction to anxiety, even when no imminent danger is present. These episodes are frequently described as making an individual feel in grave peril despite the absence of any actual threat. They tend to materialize unexpectedly, often striking during seemingly routine scenarios such as navigating a crowded space or driving a car. These attacks can manifest spontaneously and without any forewarning.
Moreover, the frequency of panic attacks varies from person to person. Some individuals might encounter a solitary episode, never to experience another, while others grapple with recurrent attacks, enduring one or more episodes each week. They are inclined to occur “out of the blue,” catching the individual off guard and unprepared. Understanding the intricacies that set panic attacks apart from panic disorders is crucial for providing solid support and intervention for those afflicted by these challenging mental health experiences.
Panic disorder is a diagnosed mental health disorder in which an individual experiences frequent, unexpected panic attacks and anticipatory anxiety. The disorder is characterized by recurrent episodes of extreme fear or discomfort that occur suddenly and last for several minutes. These panic attacks may be accompanied by a wide range of symptoms, including sweating, trembling, palpitations, shortness of breath, and irregular heartbeats. Dizziness, abdominal discomfort, detachment from one’s surroundings or oneself, and a sense of impending doom.
- Difficulty breathing,
- Racing or uncontrollable heartbeat, palpitation,
- Sweating,
- Chills or heat sensation,
- Trembling or shaking,
- The feeling of choking,
- Chest pain,
- Abdominal discomfort or nausea,
- Lightheadedness, dizziness,
- Numbness or tingling sensation,
- Feeling detached from oneself or surroundings or feeling that one’s body is out of control,
- Feeling a loss of control,
- Fear of dying.
Causes and Risk Factors
While the causes are unknown, many theories attribute them to biological, psychological, and environmental factors. A combination of these factors may play a role:
- Biological Factors. Some studies have found that people with the disorder have neurotransmitters serotonin, norepinephrine, and dopamine abnormalities. Those abnormalities may contribute to the development of those conditions. Other studies have found abnormalities in the hypothalamic-pituitary-adrenal axis, which is the system that responds to stress,
- Psychological Factors. It is important to note that experiencing panic attacks and panic disorder are not signs of a mental illness but biological reactions to stress and anxiety. Some individuals who experience these mental health conditions have a mental illness. Individuals who experience repeated panic attacks and panic disorder may have certain traits. For instance, sensitivity to stress, an extreme need for control, an aversion to uncertainty, perfectionism, and an underlying assumption that things will go wrong,
- Environmental Factors. Many factors may contribute to developing panic attacks and panic disorder. These factors include genetic predisposition, health conditions, mental health issues, stressful life events, lifestyle and behavioral choices, and diet.
Diagnosis of Panic Attacks and Panic Disorder
Distinguishing between panic attacks and panic disorder in a diagnostic context requires a multifaceted approach. This process primarily revolves around identifying specific symptoms, primarily focusing on the occurrence of panic attacks. Healthcare professionals begin by investigating the classic signs commonly associated with panic attacks. However, they go beyond this initial assessment to gain a deeper understanding of the individual’s experience by exploring additional symptoms that may be present. These supplementary symptoms may include difficulties in maintaining concentration and the presence of racing thoughts. By considering these elements, professionals can paint a more comprehensive and accurate picture of the person’s condition.
In addition to assessing the symptoms associated with panic attacks, diagnosing panic disorder involves a comprehensive evaluation. This evaluation aims to ensure that the observed symptoms align with specific diagnostic criteria for panic disorder. An integral part of this process is ruling out the possibility of other underlying mental health conditions that could explain the distressing symptoms. A definitive diagnosis of panic disorder is typically made when an individual consistently experiences panic attacks that meet the predetermined diagnostic criteria. Importantly, no other mental health disorders, such as depressive disorder, post-traumatic stress disorder, phobias, or somatization disorder, should be identified as the underlying cause of their distress.
Individuals with panic disorder often get caught in a cycle of anxiety and fear about future panic attacks. This ongoing worry worsens the emotional toll of the disorder. Early intervention and effective treatment are crucial. They can greatly improve the quality of life for those with panic disorder, helping them regain control over their mental health. Prompt recognition and treatment are essential for enhancing the well-being and functioning of affected individuals.
Treatment Options
The most effective way to treat the disorder is with medication and psychotherapy:
- Medications may include antidepressants, antianxiety agents, or other drugs to help control panic attacks. Additional ways to treat panic disorder are exercising regularly, eating healthful foods, and reducing stress,
- Cognitive-behavioral therapy, a specific form of psychotherapy, is very effective at treating panic disorder. With CBT, the individual works with a therapist to challenge irrational or unhelpful thoughts contributing to panic attacks. This helps the individual change his or her thinking about the panic attack and gain more control over the anxiety symptoms.
Coping with Panic Attacks
There are many ways to cope with panic attacks. Foremost, one of the most important things an individual can do is seek help from a doctor or mental health professional. Again, they can help the individual determine if they are experiencing panic attacks or panic disorder and can provide treatment options and support during this difficult time. Other ways to cope with panic attacks include:
- Identifying your panic attack triggers,
- Avoiding substances that may worsen symptoms,
- Practicing healthy lifestyle habits, such as sleeping well, eating healthfully, and exercising regularly,
- Seeking support from loved ones,
- Seeking help from a mental health professional,
- Learning relaxation and breathing exercises,
- Engaging in cognitive therapy,
- Having a support system.
Seeking Help and Support
It is essential to seek help if you experience panic attacks or symptoms of panic disorder. The first step is to visit a doctor or a mental health professional and discuss your symptoms. The doctor may conduct a health assessment and rule out any underlying health conditions causing your symptoms. They may recommend self-help strategies and lifestyle changes and provide medications that can help ease symptoms. If the doctor concludes that you have panic disorder, they will likely refer you to
Conclusion
Panic attacks and panic disorders are mental health conditions that can be frightening and overwhelming. They can cause sudden, intense fear, worry, and discomfort. A panic attack is a sudden episode of intense fear or apprehension that usually lasts a few minutes and can occur with or without warning. Panic disorder is a diagnosed mental health disorder in which an individual experiences frequent, unexpected panic attacks and anticipatory anxiety. The causes are unknown, but many theories attribute them to biological, psychological, and environmental factors. Individuals must be aware of panic attacks and panic disorder symptoms to seek help from healthcare professionals if needed.
Note: This article provides information and education only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician regarding any questions about a medical condition. Consult another qualified health provider for additional guidance if needed.
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