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Panic Disorder Treatment Overview

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Care Plan


First steps to consider

  • If you are experiencing mild symptoms of panic disorder there are several strategies you can use at home, like deep breathing and meditation, to help you manage your symptoms.
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When you may need a provider

  • If it’s the first time you’ve had a panic attack, you should call your healthcare provider.
  • If you’ve had repeated panic attacks, see a mental health professional. They will do a thorough medical and psychological evaluation and help create a treatment plan.
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Emergency Care

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Panic attacks can mimic symptoms of a heart attack or asthma attack. So if you have chest pain or difficulty breathing, call 911 or go to the ER to make sure it isn’t something more serious.

The suppliers listed follow Buoy’s clinical guidelines, but listing the suppliers does not constitute a referral or recommendation by Buoy. When you click on the link and/or engage with these services Buoy will be compensated.

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All treatments for panic disorder
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Read more about panic disorder care options

When to see a healthcare provider

If you have experienced symptoms of panic disorder and you have not been able to reduce them on your own, reach out to a mental health provider. A psychiatrist can help with medication management and a mental health professional can offer talk therapy.

If your panic disorder symptoms are causing you to avoid daily activities like leaving the house, going to work, or shopping at the grocery store, you should also see a mental health provider.

If you have become so overly concerned that something is wrong with your physical health that you have asked for a lot of medical tests, you should see a mental health provider.

Getting diagnosed

A psychiatrist or mental health professional will typically diagnose you based on your reported symptoms. They may use a standardized questionnaire like the Panic Disorder Severity Scale. They will also ask about your overall health and any medications you’re taking.

What to expect from your visit

If you are meeting with a psychiatrist or healthcare provider, they will likely talk to you about your symptoms, what triggers them, how often you have them, and your overall mental health. They will discuss treatment options, including medications and talk therapy. Medications may include ones that you take daily to help manage anxiety (and depression, if you have it) and medications you take only when you are having symptoms (for example, benzodiazepines).

What medication is best for panic disorder

SSRIs or selective serotonin reuptake inhibitors can be taken daily to help reduce anxiety and the frequency of panic attacks.

  • Celexa (citalopram)
  • Lexapro (escitalopram)
  • Paxil (paroxetine)
  • Prozac (fluoxetine)
  • Zoloft (sertraline)

Benzodiazepines may be prescribed to take during a panic attack

  • Ativan (lorazepam)
  • Klonopin (clonazepam)
  • Librium (chlordiazepoxide)
  • Valium (diazepam)
  • Xanax (alprazolam)

Talk therapy for panic disorder

A psychologist or social worker will work with you to find strategies that help prevent your panic attacks. They will discuss the mind-body connection, which gets short circuited during a panic disorder. And help you build tools to manage future episodes. They may also encourage exposure exercises that help you get more comfortable with the physiological sensations in your body that are causing cycles of fear.

Cognitive behavioral therapy for panic disorder

CBT therapists help you with a range of strategies including:

  • Identifying negative thoughts or beliefs that may be triggering panic attacks (I am going to die, I have no control, etc.)
  • Challenging these negative thoughts or beliefs and replacing them with healthier thoughts
  • Building skills to manage panic symptoms like deep breathing and meditation
  • Desensitization, where the therapist gradually introduces the things that trigger your panic in a safe space, and helps you manage your distress using the skills you’ve learned.

Psychodynamic therapy for panic disorder

  • This therapy is based on the theory that we are shaped by our early childhood experiences, which create unconscious conflicts that can cause emotional symptoms. Your therapist will work with you to understand your early childhood experiences and how they are affecting you.

Types of providers that treat panic disorder

  • A primary care provider can sometimes prescribe medications and may refer you to a mental health professional.
  • A psychiatrist can help diagnose you and prescribe medications.
  • A psychologist or social worker can offer talk therapy.
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Frequently asked questions