Therapy for panic attacks

Panic attacks can feel sudden, frightening and difficult to explain. Therapy can help you make sense of what is happening and reduce the fear that another episode will take over.

When fear arrives without warning

A panic attack can bring an intense rush of fear together with physical sensations such as a racing heart, breathlessness, dizziness, trembling, chest tightness or a feeling of unreality. In the moment, it may seem as though you are losing control, about to faint or facing a medical emergency.

Even after the episode has passed, the fear of it happening again can remain. You may begin to monitor your body closely, avoid crowded places, public transport, driving or being alone, and organise daily life around preventing another attack.

Experiences often associated with panic

  • sudden surges of intense fear
  • fear of fainting, dying or losing control
  • racing heart, breathlessness, dizziness or shaking
  • feeling detached from yourself or your surroundings
  • avoiding places where escape might feel difficult
  • constant vigilance for signs that another attack is beginning

How therapy may help

In therapy, we look beyond the episode itself. Panic can sometimes emerge at times of emotional strain, change, conflict or pressure that has been difficult to recognise or put into words. Exploring the wider context can make the experience feel more understandable and less arbitrary.

Over time, you may become better able to recognise what is building up emotionally, respond differently to bodily sensations and gradually return to situations that have become associated with fear. The pace of this work is collaborative and does not involve forcing you into anything before you feel ready.

Medical assessment and safety

New, severe or unexplained physical symptoms should be assessed by a doctor, particularly when there is uncertainty about their cause. Therapy does not replace medical care. It can, however, be valuable once medical concerns have been considered and panic continues to affect your life.

Your first session

We can begin by talking about what happens during an attack, when the episodes started and how they have affected your choices and sense of safety. You do not need to explain everything perfectly. The first session is a chance to understand your situation and decide whether this approach feels suitable.

Taking the first step

You can arrange an initial appointment to talk about what is bringing you to therapy and whether this approach feels right for you.

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