Anxiety ยท October 12, 2026
Panic Attacks and Panic Disorder: Signs and When to Seek Help
By Kathie Bolles, PMHNP-BC
Panic disorder involves recurrent, unexpected panic attacks: sudden waves of intense fear or physical discomfort that peak within minutes, often with a racing heart, chest tightness, shortness of breath, or a sense of losing control. The National Institute of Mental Health describes panic disorder as distinct from an occasional panic attack, marked by ongoing worry about future attacks and avoidance of places where they occurred. At Mynd Works Psychiatry in Austin, Texas, evaluation and treatment for panic symptoms are available in person and by telehealth.
What does a panic attack feel like?
A panic attack is a sudden surge of intense fear or discomfort that usually peaks within minutes. Physical symptoms can include a pounding or racing heart, chest pain or tightness, trembling, shortness of breath or a choking sensation, sweating, dizziness, nausea, and tingling in the hands or face. Many people describe a feeling of impending doom or a fear that they are losing control.
Because the physical symptoms can resemble a heart attack or other medical emergency, the Mayo Clinic recommends getting evaluated by a medical provider if you are not sure what is causing your symptoms.
When do panic attacks become panic disorder?
An occasional panic attack does not necessarily mean you have panic disorder. Panic disorder is diagnosed when attacks are recurrent and unexpected, when you worry persistently about having another attack, and when you begin changing your behavior to avoid situations where attacks have happened.
The NIMH notes that people with panic disorder often experience anticipatory anxiety, the constant worry about when the next attack will strike, and may avoid places or activities they associate with past attacks. Over time this avoidance can narrow daily life, which is one reason evaluation is worthwhile.
When should you seek professional help?
It is reasonable to seek an evaluation when panic attacks are frequent, when you are constantly worried about the next attack, or when avoidance is starting to limit work, school, or social life. Panic symptoms can also overlap with other conditions such as anxiety disorders and depression, so a careful assessment helps clarify the full picture.
If you are ever unsure whether your symptoms are medical or psychiatric in origin, start with a primary care provider. In a crisis, call or text the 988 Suicide and Crisis Lifeline, and for any emergency call 911 or go to the nearest emergency department.
How is panic disorder treated?
Treatment for panic disorder typically involves psychotherapy, medication, or both, depending on your situation and preferences. Cognitive behavioral therapy (CBT), including exposure-based approaches that help you gradually face feared sensations and situations, is a research-supported first-line treatment, and it is a core part of the psychotherapy offered at Mynd Works.
Medication options include SSRIs and SNRIs, which are commonly used for panic disorder, and in some situations short-term medications for acute relief. A clinician can explain the options, expected effects, and monitoring plan as part of psychiatric services.
What does care at Mynd Works look like?
Care begins with a thorough psychiatric evaluation that looks at your history, symptoms, and what has and has not helped before. From there, treatment is individualized and tracked over time using measurement-based care, so decisions are based on how you are actually responding rather than assumptions.
If panic symptoms are affecting your life, you can request a consultation to discuss whether Mynd Works is the right fit. The practice serves Austin and surrounding communities within approximately 50 miles, in person or by telehealth where clinically appropriate.
Common questions
Can a panic attack feel like a heart attack?
Yes. Panic attacks can produce chest pain, a racing heart, and shortness of breath that closely mimic cardiac symptoms. If you are not sure what is causing your symptoms, get evaluated by a medical provider first.
Do I need treatment if I have had only one panic attack?
A single attack does not necessarily mean you have panic disorder. But if attacks recur, if you worry constantly about another one, or if you are avoiding situations because of them, an evaluation can help.
Does Mynd Works treat panic disorder in Austin?
Yes. Panic symptoms are part of the anxiety conditions Mynd Works evaluates and treats, in person in Austin or by secure telehealth where clinically appropriate.
