Panic Disorder

When Fear Strikes Suddenly and Without Warning

Panic disorder is a psychiatric condition marked by repeated, unexpected panic attacks — sudden surges of intense fear or discomfort that peak in minutes and often include alarming physical symptoms. These attacks can happen without an obvious trigger, leaving you feeling powerless and hyper‑alert to future symptoms.

Panic disorder is not “just anxiety” or occasional nervousness before stress. It can profoundly impact daily life, leading to avoidance of places or situations where panic attacks occurred. With proper diagnosis and evidence‑based treatment, most people with panic disorder see meaningful improvement.


What Is a Panic Attack?

A panic attack is a discrete period of intense fear or discomfort, usually reaching a peak within 10 minutes. Symptoms may include:

  • Racing heart or palpitations

  • Chest tightness or pain

  • Shortness of breath or choking sensations

  • Trembling or shaking

  • Dizziness or lightheadedness

  • Nausea

  • Fear of losing control or “going crazy”

  • Fear of dying

These intense episodes often feel physical, which is why many people first seek care in emergency settings. Frequent panic attacks without clear cause are the hallmark of panic disorder.


How Panic Disorder Develops

Panic disorder is more than just having panic attacks. It includes:

Unexpected panic attacks

Attacks can occur without triggers — live, work, or sleep.

Persistent concern about future attacks

Worry about another episode can become almost constant.

Safety behaviors or avoidance

Avoiding places, situations, or sensations associated with panic attacks.

Biological vulnerability, stress, learned fear responses, and sensitivity to bodily sensations all contribute. Panic disorder often co‑occurs with agoraphobia — the fear of being in places where escape feels difficult. Integrating treatment for both conditions leads to better outcomes.


How Panic Disorder Is Diagnosed

Diagnosis is made through clinical evaluation and cannot be confirmed by a lab test alone. At Valiant Mental Health, diagnosis includes:

  • A comprehensive psychiatric assessment

  • Exploration of panic attack symptoms and frequency

  • Identification of triggers and patterns

  • Screening for co‑occurring conditions (e.g., generalized anxiety, depression, PTSD)

Accurate diagnosis is essential so the treatment plan aligns with your symptom profile.


Evidence‑Based Treatment for Panic Disorder

Effective panic disorder treatment typically involves therapy, medication support, and physiological training.

🧠 Cognitive Behavioral Therapy (CBT)

CBT is the gold‑standard therapy for panic disorder. It helps you:

  • Understand how thoughts and sensations feed panic

  • Learn how to reinterpret physical feelings safely

  • Build tolerance for sensations that once triggered panic

  • Reduce avoidance behaviors

This structured approach has strong research backing and produces lasting improvements.

For therapy, click here. 


💊 Medication Management

Medication can be an essential part of a panic disorder treatment plan — especially when panic severely limits functioning or therapy alone isn’t enough.

Common medication approaches include:

  • SSRIs or SNRIs — frequently used for panic symptoms

  • Short‑term anxiety medications (with careful monitoring)

  • Adjunctive strategies based on symptom response

Medications help regulate the nervous system so therapy and behavioral changes are more effective.

👉 Learn more about our collaborative approach on the Medication Management page:
https://valiant-health.com/medication-management/


Telepsychiatry for Panic Disorder

Panic attacks — by nature — can make attending in‑person appointments feel difficult or anxiety‑provoking. Telepsychiatry gives you the flexibility to:

  • Attend appointments from home

  • Reduce stress associated with travel

  • Maintain continuity of care

Valiant Mental Health offers secure telepsychiatry across multiple states, so your care can match your needs. Learn more about how it works on our Telepsychiatry page:
https://valiant-health.com/telepsychiatry/


Panic Disorder vs. Other Anxiety Conditions

Panic disorder is often confused with other anxiety diagnoses. Here’s how it’s different:

  • Generalized Anxiety Disorder (GAD): Persistent worry about many areas of life

  • Social Anxiety: Fear of social evaluation or performance situations

  • Agoraphobia: Fear of being in places where escape feels hard (often co‑occurs with panic)

  • Specific Phobias: Fear tied to specific objects or situations

If you’ve experienced panic attacks and persistent fear of future attacks, panic disorder is more likely — and treatment can be tailored to that pattern.


Insurance and Access to Care

Mental health coverage varies by plan. Valiant Mental Health accepts many major insurance carriers and can help verify benefits for:

  • Psychiatric evaluations

  • Medication management

  • Ongoing follow‑up

For specifics about coverage, co‑pays, and out‑of‑pocket options, visit our Insurance Plan page:
https://valiant-health.com/insurance-plan/


How Valiant Mental Health Supports You

At Valiant Mental Health, we approach panic disorder with evidence‑based care and patient‑centered planning. You’ll receive:

  • A thorough diagnostic evaluation

  • Collaborative medication strategies

  • Therapy coordination (when appropriate)

  • Consistent follow‑up via telehealth

You don’t have to manage panic attacks alone — expert help is available.

How Valiant Mental Health Helps Treat Panic Disorder

If you’re struggling with Panic Disorder, you don’t have to figure out the next steps on your own. At Valiant Mental Health, we take a practical, evidence-based approach to care—focused on helping you feel better and function better over time.

Your care plan is individualized and may include one or more of the following:

Medication Management
When appropriate, medication can play an important role in treating Panic Disorder. We focus on careful evaluation, thoughtful medication selection, and ongoing monitoring to balance symptom relief with side effects. Medication decisions are collaborative and adjusted based on how you respond—not a one-size-fits-all approach.
👉 Learn more about our Medication Management

Therapy
Many people benefit from therapy alongside or instead of medication. Evidence-based therapies—such as cognitive behavioral therapy (CBT) and related approaches—can help you develop skills to manage symptoms, reduce distress, and improve daily functioning. We work with you to determine whether therapy, medication, or a combination is the best fit.
👉 Learn more about our Therapy Services

Telepsychiatry
Care should be accessible. We offer secure telepsychiatry appointments so you can receive high-quality psychiatric care from the comfort of your home. Telepsychiatry allows for flexible scheduling and continuity of care without sacrificing clinical quality.
👉 Learn more about Telepsychiatry

Whether you’re newly seeking help or looking for a better treatment approach, our goal is to support you with clear guidance, professional expertise, and compassionate care—every step of the way.

Frequently Asked Questions

Panic Disorder

Q: What are the main symptoms of panic disorder?
A: Panic disorder involves sudden, unexpected panic attacks with symptoms like racing heartbeat, shortness of breath, dizziness, sweating, and fear of losing control.

Q: How is panic disorder different from agoraphobia?
A: Panic disorder focuses on the attacks themselves, while agoraphobia is the fear of situations where a panic attack might occur, leading to avoidance behavior.

Q: Can panic disorder be treated effectively?
A: Yes. Treatment includes CBT, exposure therapy, and sometimes medications such as SSRIs or SNRIs. Telepsychiatry can facilitate consistent follow-up care.

Ready to Begin?

👉 Request an Appointment »
👉 Learn More About Medication Management »
👉 Explore How Telehealth Works »

You don’t have to leave home to start feeling better. Let’s take that first step together.

This page is intended for educational purposes and does not replace a professional psychiatric evaluation.

Getting help for panic disorder with treatment attacks and anxiety with medication management at valiant mental health