Understanding Panic Attacks: Symptoms and What to Do
Medically reviewed by Christina Bigelow – Behavioural Health – PMHNP-BC | Core Care Clinic | Last updated: September 2026
Quick Answer
A panic attack is a sudden surge of intense fear accompanied by physical symptoms like a racing heart, shortness of breath, and dizziness – often peaking within minutes. While frightening, panic attacks are treatable, and recurring episodes are worth a real evaluation.
What a Panic Attack Actually Feels Like
Panic attacks often feel physically alarming – a racing or pounding heart, chest tightness, shortness of breath, trembling, or a sense of losing control, sometimes without an obvious trigger. Many people initially wonder if something is medically wrong, which is a completely understandable first reaction.
It’s genuinely common for someone’s first panic attack to result in an ER visit, since the physical symptoms can closely mimic a heart problem. Once other causes are ruled out, understanding what actually happened is often the first step toward feeling less afraid of it happening again.
How Panic Attacks Differ From General Anxiety
The National Institute of Mental Health describes panic attacks as sudden episodes of intense fear that peak within minutes, distinct from the more gradual, ongoing worry typical of general anxiety. Recurring panic attacks, along with fear of future attacks, may indicate panic disorder specifically.
What Treatment Can Look Like
- Talk therapy focused on understanding and managing panic symptoms
- Medication management, when appropriate for your situation
- Practical strategies for managing symptoms in the moment
Most patients find a combination of approaches works better than relying on just one, adjusted over time as things change. Many people also find real relief simply in understanding what’s happening physiologically during an attack – knowing it will pass, even while it feels overwhelming in the moment, is itself part of the coping process.
Are panic attacks dangerous?
Panic attacks themselves aren’t physically dangerous, though the symptoms can feel alarming. It’s still worth ruling out other causes with your provider, especially the first time.
Can panic attacks happen without an obvious trigger?
Yes – this is common and doesn’t make the experience any less real or worth addressing.
Will I need medication?
Not necessarily. Many patients benefit from therapy alone. Medication is one option among several, based on what fits your situation.
Behavioral Health Support at Core Care Clinic
Available at all three locations – Waltham, North Andover, and Tampa.
This article is for general educational purposes and is not a substitute for professional medical advice. Please consult your provider for guidance specific to your health.
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