Panic Disorder Coping Strategies for Getting Through a Panic Attack By Katharina Star, PhD Katharina Star, PhD Facebook LinkedIn Katharina Star, PhD, is an expert on anxiety and panic disorder. Dr. Star is a professional counselor, and she is trained in creative art therapies and mindfulness. Learn about our editorial process Updated on September 16, 2020 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Steven Gans, MD Medically reviewed by Steven Gans, MD Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Print Tim Kitchen/The Image Bank/Getty Images Table of Contents View All Table of Contents Take a Breath Loosen Up Change Your Mind Confront Panic Follow Recommendations If you suffer from panic attacks, then you've been there before. You experience difficulty breathing, rapid heart rate, muscle tension, and dizziness. These physical sensations are often accompanied by negative and frightening thoughts. You may fear losing control of yourself and quite possibly your sanity. Despite these overwhelming feelings, there are ways you can regain a sense of control when panic strikes. Below are some simple tips you can use to help ease common symptoms of a panic attack. Take a Breath Panic attacks can literally feel like they are taking your breath away. You may feel like you are hyperventilating, choking, or experiencing shortness of breath. Managing your changes in breathing can be the key to reducing panic symptoms. During an attack, try to bring your attention to your breath. How to Direct Your Breath Start by breathing slowly and purposely. This will counteract the shallow breathing characterized by most attacks. If possible, place your hands on your stomach and fill your belly with breath. When you inhale, you will feel your center rise and expand. As you exhale, it will then contract inward. These deliberate breaths will assist in soothing your body and mind. It may also be helpful to count each breath. Such as counting your first full breath in and out as one, the next breath in and out as two, and so on. This will not only help you breathe better, but it will also help you feel calmer by giving your mind something to focus on. Box Breathing Techniques and Benefits Loosen Up When panic sets in, you may notice pain, numbness, and overall tensions throughout your body. By spending a few moments trying to relax your body, you can start to improve some of your physical discomforts. Letting go of this strain will also help relieve your anxious thoughts. Work your way up to your entire arm, tightening and loosening each set of muscles, moving from the forearm up to the shoulder. Then switch to the left side. Do the same for your legs, starting with your right foot. Continue to focus on separate muscle groups, including your back and shoulders, until you have worked your way all the way up to the top of your head. Don't forget to relax your facial muscles, as there is often a lot of tension held there. Try to soften your forehead, relax your jaw, and ease your neck. Change Your Mind Even when in full-blown panic mode, you may logically recognize that your fears are exceeding what is warranted by the situation. Despite wanting the panic to stop, your thoughts may be keeping you from feeling calm. When faced with negative thoughts associated with a panic attack, try to distract your mind and refocus. As the panic attack takes its course, divert your attention to more pleasant thoughts. Instead of fearing the situation you are in, try thinking about the positive aspects of your life, such as a loved one, a beloved pet, or a favorite leisure activity. It may be helpful to think about something that makes you laugh or to visualize a tranquil scene. You can try to think of a funny joke or imagine a beautiful sunset. Affirm more positive statements to yourself. For example, repeat to yourself, "I am okay," "I am safe," or "This will pass." Over time your negative thinking pattern will begin to give way to more encouraging views. How to Stop a Panic Attack Confront Panic One of the most effective ways to start managing panic attacks is to persistently face your fears. If your attacks are situational, such as being in crowds, try not to avoid these situations. Such exposure will help you to work through panic and will send the message to your fears that you are ultimately in control of them. If your panic attacks are unpredictable, meaning that no particular triggers bring them on, you will also need to tackle the panic as it comes. Remember that by becoming self- aware during a panic attack, even when it comes on unexpectedly, can help you cope with its symptoms. Remain aware of how you're feeling and remind yourself that it will not overtake you. Coping With Panic Disorder Follow Treatment Recommendations Your physician or health care provider may recommend medication to help treat your panic attacks. Anti-anxiety medications, known as benzodiazepines, can provide fast relief for panic symptoms. Frequently prescribed benzodiazepines include: Ativan (Lorazepam) Klonopin (Clonazepam) Xanax (Alprazolam) Benzodiazepines are generally prescribed during the initial treatment phase as a short-term remedy for panic attacks. Antidepressants, such as Prozac (Fluoxetine), and Zoloft (Sertraline), are a commonly prescribed type of medication used in more long-term prevention of panic attacks. Since antidepressants can take several weeks to be effective, it is important to take them consistently to improve your symptoms. Benzodiazepines Short-term relief Take shortly before a panic-inducing situation, like prior to boarding an airplane or giving a speech Take shortly after the emergence of panic symptoms Antidepressants Long-term prevention Take daily to help alleviate feelings of anxiety and weaken strength and duration of panic attacks over time Next time you are met with a panic attack, apply these techniques so that you can begin to regain some control. Keep in mind that these strategies won't work every time or for everyone, but try them out and see what helps you. These skills will be most effective if you practice them when you are not in a state of panic. By rehearsing them, they will become easier to use and will be more ingrained in your memory for when you will need them the most. You may also want to write them down and keep them with you so that you have them during panic-inducing situations. With patience, perseverance, and consistency, your panic attacks can be managed. You are most likely much braver than you think you are. Over time, you may begin to recognize your own courage as you continue to conquer panic attacks. How Long Do Panic Attacks Last? 7 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Anxiety and Depression Association of America. Symptoms - panic attacks. Paulus MP. The breathing conundrum-interoceptive sensitivity and anxiety. Depress Anxiety. 2013;30(4):315-20. doi:10.1002/da.22076 Morson J. HuffPost. How To Calm Down From A Panic Attack. Hayes-skelton SA, Roemer L, Orsillo SM, Borkovec TD. A contemporary view of applied relaxation for generalized anxiety disorder. Cogn Behav Ther. 2013;42(4):292-302. doi:10.1080/16506073.2013.777106 Hall CB, Lundh LG. Brief therapist-guided exposure treatment of panic attacks: a pilot study. Behav Modif. 2019;43(4):564-586. doi:10.1177/0145445518776472 Meuret AE, Wolitzky-taylor KB, Twohig MP, Craske MG. Coping skills and exposure therapy in panic disorder and agoraphobia: latest advances and future directions. Behav Ther. 2012;43(2):271-84. doi:10.1016/j.beth.2011.08.002 Harvard Health Publishing. Benzodiazepines (and the alternatives). Additional Reading Bourne EJ. The Anxiety and Phobia Workbook, Seventh Edition. Oakland, California; New Harbinger Publications, 2020. Silverman HM. The Pill Book, Fourteenth Edition. New York, New York: Bantam Books; 2010. By Katharina Star, PhD Katharina Star, PhD, is an expert on anxiety and panic disorder. Dr. Star is a professional counselor, and she is trained in creative art therapies and mindfulness. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for Panic Disorder Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.