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Managing Panic Attacks

Fearing the fear can trigger more panic; here’s how to stop it in its tracks.

By Mr. Hershel Wertheimer MHC, MSEd.

Executive Director of Hamaspik of Kings County

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Question:

I've recently started experiencing panic attacks, and they’re beginning to interfere with my daily life. I'm afraid to go out in public or attend social events for fear of having an attack. What are some coping strategies I can use to manage these episodes and regain a sense of control?

Answer:

First of all, I want to acknowledge how difficult and frightening panic attacks can be. I sympathize with what you’re going through.

If you’re experiencing frequent or chronic panic attacks, it’s important to seek professional help. A licensed therapist can guide you through effective treatment options, and in some cases, medication may be recommended to help manage the symptoms. Since you mentioned that the panic attacks are a recent development, I’ll assume this may be a short-term challenge—though it still deserves attention.

Let’s start by understanding what a panic attack actually is. Typically, it begins with a sense of worry or anxiety. That initial worry can spiral into worrying about the worry itself. This cycle intensifies to the point where your body reacts—you might breathe too quickly or not enough, and that physical response can trigger symptoms like dizziness, shortness of breath, or even fainting. It’s your body responding to what it perceives as danger, even if there’s no real external threat.

Once you understand what a panic attack is, it becomes easier to recognize that the attack itself is not inherently dangerous. While the symptoms can feel intense and overwhelming, they are not life-threatening.

The real risk comes when basic self-care is neglected—if you’re not sleeping, eating, or caring for your physical needs, it can affect your overall mental health and, in rare cases, lead to more serious conditions, such as a manic episode. But that typically happens only in the presence of underlying psychological conditions, which doesn’t seem to be the case here, as you haven’t mentioned any other concerns beyond panic.

Solet’s be clear: under normal circumstances, if you’re taking care of yourself—getting enough rest, eating properly, and maintaining healthy routines—panic attacks, while distressing, are not dangerous. Remind yourself of that fact. Knowing you’re safe is the first step in regaining control.

Once you understand that a panic attack isn’t dangerous, it begins to loosen the mental spiral that often leads to more panic. The cycle starts when you begin to worry about having another panic attack—anxiety about the anxiety itself. That fear is what can actually trigger another episode. But when you remind yourself that a panic attack, while uncomfortable, is not harmful, it interrupts that chain reaction. You begin to take the power away from the fear.

Even if a panic attack does occur, you now know you don’t need to panic about the panic. It’s not dangerous. Often, the physical symptoms are connected to rapidor shallow breathing—so focusing on your breath can help ground you and bring your body back to calm.

By learning to manage the anxiety before it spirals into a panic attack, you’ve already accomplished an important first step. However, there may still be deeper anxiety that needs attention. You’ve prevented the panic—but the anxiety itself still deserves care and treatment.

Wishing you continued strength and healing.

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Auditory Sensitivity

My child is sensitive to loud noises
(e.g., sirens, vacuum cleaner).

My child seeks out specific sounds or types of music and appears calmer when listening to them.

Tactile Sensitivity

My child is irritated by certain fabrics or tags in clothing.

My child seems indifferent to sensations that are usually painful or to extreme temperatures.

Visual Sensitivity

My child is sensitive to bright or flashing lights.

My child tends to avoid eye contact.

Taste/Smell Sensitivity

My child constantly prefers bland foods and rejects foods with strong flavors or spices.

My child seeks out strong or unusual smells, such as sniffing food or objects.

Proprioceptive Sensitivity

My child prefers tight hugs or being wrapped in a blanket.

My child is unaware of body position in space (e.g., often bumps into things).

Social Sensitivity

My child becomes anxious or distressed in crowded spaces.

My child is hesitant or resistant to climbing or balancing activities (e.g., jungle gyms, see-saws).

Movement Sensitivity

My child dislikes fast or spinning movements

Vestibular Sensitivity

My child becomes anxious or distressed in crowded spaces.

My child is hesitant or resistant to climbing or balancing activities (e.g., jungle gyms, see-saws).

Please answer all questions before submitting.

Your Child’s Score is

  • 0-15

    Low Sensory Sensitivity

  • 16-30

    Moderate Sensory Sensitivity

  • 31-45

    High Sensory Sensitivity

  • 46-60

    Very High Sensory Sensitivity

0-15: Low Sensory Sensitivity

  • Interpretation: Your child exhibits low levels of sensory sensitivity, usually falling within the typical developmental range.
  • Recommendation: Generally not  a cause for concern. If you have specific worries or notice a sudden change in behavior, consult a healthcare professional for a comprehensive evaluation.
  • 0-15

    Low Sensory Sensitivity

  • 16-30

    Moderate Sensory Sensitivity

  • 31-45

    High Sensory Sensitivity

  • 46-60

    Very High Sensory Sensitivity

16-30: Moderate Sensory Sensitivity

  • Interpretation: Your child displays moderate sensory sensitivity, which may warrant intervention.
  • Recommendation: Consider sensory-friendly activities, sensory sensitive toys, or sensory sensitive clothing like noise-canceling headphones and weighted blankets to improve comfort. If symptoms persist, consult health care professionals.
  • 0-15

    Low Sensory Sensitivity

  • 16-30

    Moderate Sensory Sensitivity

  • 31-45

    High Sensory Sensitivity

  • 46-60

    Very High Sensory Sensitivity

31-45: High Sensory Sensitivity

  • Interpretation: Your child has higher than average sensory sensitivity that may interfere with daily functioning.
  • Recommendation: Seek a detailed evaluation by health care professionals for sensory integration therapy options and potential environmental modifications.
  • 0-15

    Low Sensory Sensitivity

  • 16-30

    Moderate Sensory Sensitivity

  • 31-45

    High Sensory Sensitivity

  • 46-60

    Very High Sensory Sensitivity

46-60: Very High Sensory Sensitivity

  • Interpretation: Your child demonstrates high levels of sensory sensitivity that could significantly interfere with daily life.
  • Recommendation: If your child displays this level of sensory sensitivity, it’s highly recommended that you consult with a health care professional for a multi-disciplinary assessment. You will probably be directed towards early intervention programs and specialized support.

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