Panic Disorder

Panic attacks can feel terrifying. Your heart may race, you may feel dizzy or shaky, sweat, experience chills or hot flashes, feel nauseous, or have trouble catching your breath. You may also worry that you're going to lose control, pass out, die, or somehow lose touch with reality.

After experiencing a panic attack, it's understandable to do whatever you can to prevent it from happening again. You may start avoiding places, activities, or situations where you've had panic before—or where you're afraid you might have another attack.

Over time, this avoidance can make your world feel smaller. Some people become afraid to leave home, drive, travel, exercise, or go places without someone they trust. This can sometimes lead to agoraphobia, or a fear of being in situations where escaping or getting help might feel difficult.

The good news is that panic disorder is highly treatable. Therapy can help you understand what's happening during a panic attack, reduce your fear of physical sensations, and gradually return to the activities you've been avoiding.

I use CBT, exposure therapy, and Acceptance and Commitment Therapy (ACT) to help people overcome panic. One type of exposure I use is called interoceptive exposure, which involves safely practicing physical sensations similar to those experienced during panic so that they become less frightening.

You don't have to spend your life trying to prevent the next panic attack. Therapy can help you regain confidence in your body and your ability to handle anxiety.