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Anxiety, Part 4: Panic Disorder

May 9, 2025 by Shiloh Martin, LPC-S, CCMHC

People with this disorder experience unexpected panic attacks and live in fear of having another panic attack. Symptoms of a panic attack include: heart palpitations, difficulty breathing and shortness of breath, dizziness, nausea, chills or sweats, and fear of dying. Some people also develop agoraphobia, which is when they begin to avoid going to public places for fear that a panic attack will occur and they will be unable to escape.
Many people have just one or two panic attacks in their lifetimes, and the problem goes away, perhaps when a stressful situation ends. But if you’ve had recurrent, unexpected panic attacks and spent long periods in constant fear of another attack, you may have a condition called panic disorder.

Although panic attacks themselves aren’t life-threatening, they can be frightening and significantly affect your quality of life. But treatment can be very effective.

Symptoms

Panic attacks typically begin suddenly, without warning. They can strike at any time — when you’re driving a car, at the mall, sound asleep or in the middle of a business meeting. You may have occasional panic attacks, or they may occur frequently. Panic attacks have many variations, but symptoms usually peak within minutes. You may feel fatigued and worn out after a panic attack subsides.

Causes

It’s not known what causes panic attacks or panic disorder, but these factors may play a role:

  • Genetics
  • Major stress
  • Temperament that is more sensitive to stress or prone to negative emotions
  • Certain changes in the way parts of your brain function

Complications

Left untreated, panic attacks and panic disorder can affect almost every area of your life. You may be so afraid of having more panic attacks that you live in a constant state of fear, ruining your quality of life.

Prevention

There’s no sure way to prevent panic attacks or panic disorder. However, these recommendations may help.

Get treatment for panic attacks as soon as possible to help stop them from getting worse or becoming more frequent.

When to see a doctor

If you have panic attack symptoms, seek medical help as soon as possible. Panic attacks, while intensely uncomfortable, are not dangerous. But panic attacks are hard to manage on your own, and they may get worse without treatment.

Panic attack symptoms can also resemble symptoms of other serious health problems, such as a heart attack, so it’s important to get evaluated by your primary care provider if you aren’t sure what’s causing your symptoms.

SubRosa Mental Services provides a client-forward approach to helping individuals, businesses, and children by offering Comprehensive Psychological & Psycho-Educational Evaluations, life coaching and emotional support animal assistance. Reach out today to find out more.

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  • American with Disabilities Act FAQ for Service Animals
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  • Who Can and Cannot Do Forensic Evaluations for Emotional Support Animals and Psychiatric Service Dogs

Books

Written by Dr. Shiloh W. Martin, the book draws on his personal faith and professional expertise to provide guidance and encouragement for individuals struggling with mental health issues and their loved ones. The book explores various mental illnesses–such as depression, anxiety, and bipolar disorder–and uses scriptures to provide comfort, hope, and practical advice.

Click for details

The Anxiety Solution: Regaining Control and Finding Peace,” extends a helping hand to guide you through the labyrinth of anxiety toward a sanctuary of tranquility.

In this empathetic and insightful guide, you’ll discover practical and proven techniques to not only alleviate anxiety but to empower yourself with lasting peace.

Click for details

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Please Note: Shiloh Martin, PhD provides all forensic evaluations. He is a licensed mental health provider in Alaska, Arizona, Hawaii, Missouri, Oklahoma, South Carolina, Texas, and Georgia. Verification of licensure can be verified through each state's licensure board. Dr. Martin is a Nationally Board Certified Counselor registered WITH NBCC. #271022. NPI# 1255588901.

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