Panic Disorder Symptoms What Is an Anxiety Attack? Understanding Panic Attacks vs. Anxiety Attacks and Anxiety Symptoms By Sheryl Ankrom, MS, LCPC Sheryl Ankrom, MS, LCPC LinkedIn Sheryl Ankrom is a clinical professional counselor and nationally certified clinical mental health counselor specializing in anxiety disorders. Learn about our editorial process Updated on August 24, 2022 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 Amy Morin, LCSW Medically reviewed by Amy Morin, LCSW Facebook LinkedIn Twitter Amy Morin, LCSW, is the Editor-in-Chief of Verywell Mind. She's also a psychotherapist, the author of the bestselling book "13 Things Mentally Strong People Don't Do," and the host of The Verywell Mind Podcast. Learn about our Medical Review Board Print milanvirijevic / Getty Images Table of Contents View All Table of Contents What Is an Anxiety Attack? Symptoms Diagnosis Causes Treatment Coping What Is an Anxiety Attack? An anxiety attack is a sudden and intense episode of fear and anxiety. Anxiety attacks can occur unexpectedly for no apparent reason, but they can also be linked to specific triggers. “Anxiety attack” is not a formal, clinical term. Many often use the term colloquially to describe all sorts of anxious responses. People may use it to describe a range of sensations, from worries about an upcoming event to intense feelings of fear that would meet the diagnostic criteria for a panic attack. In order to understand what someone means by “anxiety attack,” it is necessary to consider the context in which the symptoms occur. Symptoms of an Anxiety Attack Symptoms of an anxiety attack can vary. Some people may only experience a few mild symptoms of anxiety, while others may experience a wider variety of more intense symptoms. These symptoms include: ApprehensionDiarrheaDifficulty sleepingDry mouthIrritabilityLightheadednessHeadacheMuscle tensionNauseaRapid heart rateShakingSweatingTightness in the chest and throatTrouble concentratingWorry Anxiety Attack vs. Panic Attack Have you ever experienced an intense feeling of terror, fear, or apprehension for no apparent reason? If so, you may have experienced a panic attack. If you experience recurrent panic attacks, you may have a condition known as panic disorder. Panic attacks can also signify other underlying medical or mental health conditions, including sleep disorders, post-traumatic stress disorder (PTSD), or depression. Panic attacks can feel confusing and scary for the person experiencing them in that they are usually sudden and accompanied by extremely intense physical sensations. Their heart may race, and they may feel disoriented and shakey. Nausea, dry mouth, chest pain, and dizziness are also common. A panic attack is not dangerous, but the symptoms are often confused with serious medical conditions. Sometimes, a person may feel like they are having a heart attack or dying. Because panic attack symptoms overlap with symptoms of certain severe conditions, it is essential to rule out any medical causes. A panic attack and an anxiety attack differ in terms of how long they last. Panic attacks are typically briefer, lasting somewhere between 10 and 20 minutes. The feelings associated with an anxiety attack can last longer. They may begin gradually and may last for hours or days. Panic Attack Symptoms Symptoms of a panic attack may include: Chest pain or discomfort Chills or hot flushes Fear of dying Fear of losing control or going crazy Feeling dizzy, unsteady, lightheaded, or faint Feeling of choking Feelings of unreality (derealization) or of being detached from oneself (depersonalization) Heart palpitations, pounding heart, or accelerated heart rate Nausea or abdominal distress Numbness or tingling sensations (paresthesias) Sensations of shortness of breath or smothering Sweating Trembling or shaking What Is the Difference Between Panic and Anxiety Attacks? Diagnosis of an Anxiety Attack If you are experiencing anxiety symptoms, your first step may be to talk to your doctor. Your doctor will perform a physical exam and may conduct lab tests to rule out any medical conditions that might be causing or contributing to your symptoms. If there is no medical cause, your doctor may refer you to a mental health professional for further evaluation. Because an anxiety attack is not a formal diagnosis, you may be diagnosed with a type of anxiety disorder such as panic disorder or generalized anxiety disorder, depending on your symptoms. Your doctor will ask questions about your symptoms to determine a diagnosis based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) criteria. Experts now recommend that all women over the age of 13 should be screened for anxiety, but always talk to your doctor if you are concerned about symptoms you are experiencing. Causes of Anxiety Attacks The exact causes of anxiety are not known, but it is likely that a variety of factors play a role. An anxiety attack can be triggered by anxiety disorders, perceived threats, or certain situations. Anxiety Disorders Anxiety attacks may be the result of certain anxiety disorders. Each of these has a specific set of symptoms. These conditions can also have different causes or can be triggered by certain situations. Generalized anxiety disorder (GAD): This condition is marked by unrealistic and excessive worry without a specific cause. Obsessive-compulsive disorder (OCD): This condition involves intrusive obsessions and compulsions that are difficult to control and lead to significant distress. Panic disorder: This condition is marked by sudden panic attacks that can hit with no warning. Social anxiety disorder (SAD): This condition involves excessive self-consciousness and fear of social situations. Specific phobias: This type of phobia is marked by an intense and excessive fear of a specific object or situation. Perceived Threats Anxiety can be a response to an imprecise or unknown threat. For example, imagine you're walking alone down a dark street. You may feel a little uneasy, and perhaps you have a few butterflies in your stomach. This type of "anxiety attack" is related to the possibility that there might be a danger that poses you harm. This anxiety is not the result of a known or specific threat. Instead, it comes from your mind's vision of the possible dangers that may result in the situation. The symptoms you are experiencing are typical and even beneficial. Anticipating threats allows your body to prepare to respond to a situation quickly—a phenomenon known as the fight-or-flight response. Specific Situations Sometimes, what people call "anxiety attacks" are actually normal reactions to life experiences that make us anxious. These experiences can include things such as: Becoming a parentChanging jobsCoping with illnessFinancial worriesDeath of a loved oneGetting divorcedGetting marriedParenting and family pressuresPublic speakingRelationship conflictTaking a school examWork-related stress Such situations can cause feelings that can range from normal anxiety (which may often be beneficial) to an anxiety attack. This anxiety might be temporary, but it can still be upsetting and can interfere with your ability to perform in certain situations (such as giving a speech). If situational anxiety attacks make it difficult to cope, seeking treatment can be helpful Other factors contributing to anxiety attack symptoms include genetics, chronic stress, drug and alcohol use, brain changes, certain medications, and traumatic events. Excessive caffeine consumption can also trigger an anxiety attack. The Benefits of Anxiety Treatment for Anxiety Attacks Effective anxiety treatments are available. These treatments can be used to treat a diagnosed anxiety disorder, but they can also be helpful for reducing general feelings of anxiety as well. Psychotherapy Psychotherapy focuses on changing anxious thoughts, emotions, and behaviors. There are many different types of psychotherapy, but cognitive behavioral therapy (CBT) and exposure therapy are two of the most frequently used. Cognitive behavioral therapy is an approach that involves identifying the automatic negative thought patterns that are associated with feelings of anxiety. Once these have been identified, people then learn to actively challenge such thoughts and replace them with more realistic ones. Exposure therapy is an approach that can be effective when treating certain types of anxiety, particularly specific phobias. People are gradually exposed to a feared object or situation while practicing relaxation techniques. Eventually, the source of their fear becomes less frightening. Medications Some medications can be useful for treating symptoms of anxiety. These include: Benzodiazepines such as Xanax (alprazolam) and Valium (diazepam) Selective serotonin reuptake inhibitors (SSRIs) such as Lexapro (escitalopram) and Zoloft (sertraline) Selective norepinephrine reuptake inhibitors (SNRIs) such as Effexor XR (venlafaxine) and Cymbalta (duloxetine) Coping If you are experiencing anxiety attacks, various coping strategies and lifestyle modifications may also help. These include: Adequate sleep: Sleep can have a major impact on your mental well-being, and lack of sleep can sometimes play a role in worsening feelings of anxiety. Deep breathing: Shallow breathing during an anxiety attack can increase heart rate and make it more difficult to remain calm. Practice deep breathing techniques to help keep your breathing and heart rate under control when you are coping with feelings of stress and anxiety. Meditation: Meditation can be a great way to practice focusing on your breathing and staying centered in the moment. Meditative techniques have also been shown to have some usefulness for reducing symptoms of anxiety. Start by practicing for 10 minutes a day. If you need help, consider trying a guided audio meditation or a mobile meditation app. Regular exercise: Exercise has long been known to have both physical and mental health benefits. Research has also found that exercise can be an effective option for reducing symptoms of anxiety. Support: Social support can play a critical role in mental health and well-being. Anxiety can often be an isolating experience, so seeking the support of friends and family can be helpful. Another idea is to join an anxiety support group. If you or a loved one are struggling with anxiety or panic attacks, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area. For more mental health resources, see our National Helpline Database. Get Advice From The Verywell Mind Podcast Hosted by Editor-in-Chief and therapist Amy Morin, LCSW, this episode of The Verywell Mind Podcast shares a strategy to help you cope with anxiety. Follow Now: Apple Podcasts / Spotify / Google Podcasts A Word From Verywell A person may experience a panic attack once or even a few times during their lives and may never develop an anxiety disorder. Since the symptoms of anxiety and panic attacks may mimic many other medical and psychological disorders, however, it is important to review your symptoms with your doctor for an accurate diagnosis. Anxiety attacks can be frightening, but it is important to remember that they are often normal reactions to difficult situations. If your symptoms of anxiety are frequent or are making it difficult to function normally, talk to your doctor. Effective treatments are available and there are also many self-help strategies that you might find helpful. How to Cope With Feelings of Anxiety 6 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. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th edition. 2013. doi:10.1176/appi.books.9780890425596 Cleveland Clinic. Anxiety disorders: diagnosis and tests. Gregory KD, Chelmow D, Nelson HD, et al. Screening for anxiety in adolescent and adult women: A recommendation from the Women's Preventive Services Initiative. Ann Intern Med. 2020;173(1):48–56. doi:10.7326/M20-0580 Cleveland Clinic. Anxiety disorders: what is an anxiety disorder. Chen KW, Berger CC, Manheimer E, et al. Meditative therapies for reducing anxiety: a systematic review and meta-analysis of randomized controlled trials. Depress Anxiety. 2012;29(7):545-562. doi:10.1002/da.21964 Aylett E, Small N, Bower P. Exercise in the treatment of clinical anxiety in general practice - a systematic review and meta-analysis. BMC Health Serv Res. 2018;18(1):559. doi:10.1186/s12913-018-3313-5 By Sheryl Ankrom, MS, LCPC Sheryl Ankrom is a clinical professional counselor and nationally certified clinical mental health counselor specializing in anxiety disorders. 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.