Servicing NYC and Long Island
Fearing the fear can trigger more panic; here’s how to stop it in its tracks.
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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