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Imagine feeling a sudden surge of overwhelming fear, your heart racing, your chest tightening, and an overwhelming sense of impending doom. These are the hallmarks of a panic attack, a terrifying experience that can strike without warning, leaving individuals feeling helpless and frightened. Panic attacks can occur unexpectedly, triggered by specific situations, or as a response to chronic anxiety. 

However, take heart in the knowledge that effective treatments exist to help you regain control and find peace amidst the storm. In this article, we will explore various strategies, therapies, and medications that can help individuals manage and overcome panic attacks, providing them with the tools to lead a more fulfilling and anxiety-free life.

Unmasking the Panic Attack

Panic attacks are intense episodes of fear or discomfort that can manifest both physically and psychologically. Common physical symptoms include rapid heartbeat, shortness of breath, chest pain, dizziness, trembling, and sweating. 

Psychological symptoms may include a sense of impending doom, fear of losing control or going crazy, and a detachment from reality. Panic attacks typically reach their peak within minutes and gradually subside, but the aftermath can leave individuals feeling exhausted and anxious about future attacks.

Triggers and Causes

Panic attacks can be triggered by a variety of factors, such as specific phobias, social situations, traumatic events, or even as a result of underlying medical conditions. For some individuals, panic attacks may seem to occur without an apparent cause, making them even more unsettling. Understanding the triggers and underlying causes of panic attacks is an essential step in finding effective treatment strategies.


Finding the best anxiety treatment for panic attacks involves a comprehensive approach that combines therapy, self-help techniques, and, in some cases, medications. 

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Cognitive-Behavioral Therapy (CBT):

Cognitive-Behavioral Therapy (CBT) is a widely recognized and effective treatment for panic attacks and anxiety disorders. It aims to identify and modify negative thought patterns and behaviors that contribute to panic attacks. Here are a few CBT techniques commonly used:

1. Cognitive Restructuring:

Cognitive restructuring is a fundamental aspect of CBT that focuses on identifying and challenging the negative thought patterns and beliefs that contribute to anxiety and panic attacks. It recognizes that our thoughts can significantly impact our emotions and behaviors. Through cognitive restructuring, individuals learn to replace distorted, irrational thoughts with more realistic and balanced ones.

The process begins with becoming aware of negative thoughts that arise during a panic attack or in anxiety-provoking situations. These thoughts are often characterized by catastrophizing, assuming the worst-case scenario, or engaging in black-and-white thinking. For example, someone experiencing a panic attack may believe, “I’m going to die” or “I’m losing control.”

Once these thoughts are identified, individuals are encouraged to examine the evidence supporting and contradicting these thoughts. They learn to challenge the validity of their negative beliefs and consider alternative perspectives. For instance, they might ask themselves, “Is there any evidence to support the idea that I’m going to die? Have I ever actually died from a panic attack before?”

By actively disputing negative thoughts and replacing them with more realistic and balanced ones, individuals can reduce anxiety and the frequency and intensity of panic attacks. This process takes practice and persistence, but over time, it can reshape automatic thought patterns and lead to more adaptive responses to anxiety-provoking situations.

2. Exposure Therapy:

Exposure therapy is another powerful technique used in CBT to treat panic attacks. It involves gradually and systematically exposing individuals to situations or triggers that provoke anxiety or panic. The goal is to reduce fear and avoidance by increasing tolerance and developing a sense of mastery over the feared stimuli.

Exposure therapy can be conducted in two main ways:

In vivo exposure: This involves direct and real-life exposure to the feared situations. For instance, if someone experiences panic attacks in crowded places, they would gradually expose themselves to increasingly crowded environments, starting with less overwhelming situations and gradually progressing to more challenging ones. Through repeated exposure, the anxiety response decreases as individuals learn that they can tolerate the distress and that their fears are exaggerated.

Imaginal exposure: This involves vividly imagining and recounting the feared situations in a safe and controlled environment. Individuals are guided to visualize the situations that trigger panic attacks, allowing them to confront and process their fears. With repeated practice, the anxiety associated with these situations diminishes, providing a sense of empowerment and control.

By gradually facing their fears and learning that they can cope effectively, individuals can overcome avoidance behaviors and regain a sense of confidence and mastery over their lives.

3. Relaxation Techniques:

CBT also incorporates relaxation and breathing techniques as valuable tools to manage anxiety and panic attacks. These techniques aim to activate the body’s relaxation response, counteracting the physiological arousal associated with panic attacks.

Deep breathing exercises, such as diaphragmatic breathing, encourage slow, deep breaths that engage the diaphragm, leading to a calming effect on the nervous system. By focusing on the breath and consciously slowing down the inhales and exhales, individuals can regulate their breathing, reduce hyperventilation, and alleviate physical symptoms of anxiety.

Progressive muscle relaxation involves systematically tensing and relaxing different muscle groups to promote physical relaxation and release tension. By sequentially tensing and releasing muscles throughout the body, individuals can experience a deep sense of relaxation, reducing overall anxiety levels.

These relaxation and breathing techniques serve as immediate coping strategies during panic attacks and can be practiced regularly to develop resilience and manage anxiety more effectively. 

By integrating these CBT techniques, individuals gain insight into the connection between their thoughts, emotions, and behaviors, allowing them to challenge negative patterns, confront fears, and develop healthier coping mechanisms to combat panic attacks. CBT equips individuals with lifelong skills to navigate anxiety and build resilience, empowering them to reclaim control over their lives.

Other Therapies and Treatments

Apart from CBT, there are several other therapies and treatments that can be effective in managing panic attacks and anxiety. Some of these include:

1. Acceptance and Commitment Therapy (ACT):

ACT focuses on accepting anxious thoughts and feelings while committing to actions aligned with personal values. It helps individuals build resilience and develop a healthier relationship with anxiety, reducing the impact of panic attacks on their daily lives.

2. Dialectical Behavior Therapy (DBT):

DBT combines elements of CBT with mindfulness techniques. It teaches individuals emotional regulation skills, distress tolerance, and interpersonal effectiveness, helping them cope with panic attacks and manage their emotions more effectively.

3. Support Groups:

Joining support groups or participating in group therapy sessions can provide individuals with a sense of community and understanding. Sharing experiences and coping strategies with others who have similar challenges can be empowering and reassuring.


In many cases, medications may be prescribed to manage panic attacks and anxiety symptoms. It’s essential to consult a healthcare professional to determine the most suitable medication and dosage. Here are two commonly prescribed medications:

1. Selective Serotonin Reuptake Inhibitors (SSRIs):

Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed as a first-line treatment for anxiety disorders. These medications work by increasing the availability of serotonin, a neurotransmitter involved in mood regulation. SSRIs, such as fluoxetine (Prozac) or sertraline (Zoloft), have been shown to reduce anxiety symptoms and prevent panic attacks.

2. Benzodiazepines:

Benzodiazepines are fast-acting medications that can be prescribed for acute relief of panic attacks. Medications like alprazolam (Xanax) or lorazepam (Ativan) work by enhancing the calming effects of a neurotransmitter called gamma-aminobutyric acid (GABA). However, benzodiazepines are generally prescribed for short-term use due to the potential for dependence and other side effects.

If you’re suffering from panic attacks, it’s important to seek support and guidance to navigate through this challenging experience. BetterHelp offers a convenient and accessible platform where you can connect with licensed therapists who specialize in anxiety and panic disorders. Through secure online sessions, you can receive personalized treatment tailored to your specific needs. 

BetterHelp’s therapists are experienced in utilizing evidence-based approaches like Cognitive-Behavioral Therapy (CBT) and can guide you through effective techniques to manage panic attacks. With BetterHelp, you can gain the support and tools necessary to regain control over your life and find relief from the grip of anxiety.


The best anxiety treatment for panic attacks involves a holistic approach that combines therapy, self-help techniques, and, when necessary, medications. Cognitive-Behavioral Therapy (CBT), along with other therapeutic approaches like ACT and DBT, empowers individuals to challenge their negative thought patterns, face their fears, and develop effective coping strategies. Medications such as SSRIs and benzodiazepines can provide additional support. 

Remember, each person’s journey is unique, so finding the right treatment requires a personalized approach. With perseverance and the right resources, individuals can overcome panic attacks and reclaim control over their lives.


How long does it take for anxiety treatments to show results?

The timeline for improvement varies from person to person. With therapy, individuals often start noticing positive changes within a few weeks, but significant progress may take several months. Medication effects can vary, but some individuals may experience relief within a few weeks.

Are there any self-help techniques that can complement professional treatment?

Absolutely! In addition to therapy and medication, self-help techniques such as regular exercise, maintaining a healthy lifestyle, practicing stress management, and engaging in activities that bring joy and relaxation can significantly support anxiety treatment.

Can panic attacks be cured completely?

While there is no definitive “cure” for panic attacks, effective treatment can help individuals manage and reduce the frequency and intensity of panic attacks to a point where they no longer significantly interfere with daily life. With appropriate strategies and support, individuals can lead fulfilling lives.

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