If you’ve ever felt your heart racing, palms sweating, and wondered if you were about to star in your medical drama, you’re not alone. The difference between panic attack and anxiety attack is a topic that confuses many, and for good reason.
Both can leave you feeling like you’re on a rollercoaster you never bought a ticket for. But understanding their differences is key to managing your mental health and getting the right support. Anxiety and panic attacks can interfere with everyday life, making it essential to seek help and address these issues.
In this article, we’ll go in-depth into the key differences between panic attacks and anxiety attacks.Table of Contents:
Introduction to Mental Health
Mental health is a vital aspect of our overall well-being, and it’s essential to understand the various conditions that can affect it. Anxiety disorders, including panic attacks and anxiety attacks, are common mental health conditions that can significantly impact daily life. According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), anxiety disorders are characterized by excessive worry, fear, and anxiety that interfere with a person’s ability to function. In this section, we will explore the basics of mental health, including the importance of seeking help and the role of healthcare providers in diagnosing and treating mental health conditions.
What Is the Difference Between Panic Attack and Anxiety Attack?
Let’s cut through the confusion. Panic attacks and anxiety attacks might seem like evil twins, but they have distinct personalities (and triggers).
It is important to note that only panic attacks are recognized as an official diagnosis in the DSM-5.
The main difference between a panic attack and an anxiety attack lies in how they start, how long they last, and how intense they feel:
Panic Attack: The Sudden Storm
- Strikes suddenly, often without warning or an obvious trigger
- Peaks within minutes (usually 10 minutes or less)
- Involves intense physical symptoms like chest pain, racing heart, shortness of breath, dizziness, and a sense of doom, often accompanied by intense fear
- Feels so severe that people often think they’re having a heart attack or losing control
- Typically fades as quickly as it started
Anxiety Attack: The Slow Burn
- Builds gradually, usually in response to a stressor or ongoing worry
- Symptoms can last for hours, days, or even longer
- Involves persistent feelings of apprehension, unease, muscle tension, restlessness, and trouble concentrating, which are common anxiety symptoms
- Physical symptoms are usually milder than a panic attack, but can still include increased heart rate, sweating, and fatigue
- Not officially recognised as a diagnosis in the DSM-5, but widely used to describe episodes of heightened anxiety
Similarities Between Panic and Anxiety Attacks
Before you start diagnosing yourself with every symptom on WebMD, remember: panic and anxiety attacks do share some common ground.
- Both can cause rapid heartbeat, sweating, shortness of breath, chest pain, and dizziness.
- Both can feel overwhelming and frightening.
- Both may require professional support if they disrupt your life.
Symptoms: How to Tell Them Apart
Understanding the difference between panic attacks and anxiety attacks begins with recognising their distinct symptom profiles. Accurate identification is essential for effective management and treatment. Recognizing the specific symptoms of each type of attack is crucial for tailoring appropriate treatment options and improving daily life.
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Panic Attack Symptoms:
Panic attacks are characterised by a sudden onset of intense physical and psychological symptoms, often without an identifiable trigger. Common symptoms include:
- Pounding or racing heart: Noticeable acceleration of heart rate, sometimes accompanied by palpitations.
- Sweating, trembling, or shaking: Marked autonomic arousal can cause visible physical reactions.
- Shortness of breath or feeling smothered: Individuals may feel as though they cannot catch their breath.
- Chest pain or discomfort: Frequently mistaken for cardiac issues, this symptom can be particularly distressing.
- Nausea or abdominal distress: Gastrointestinal discomfort is not uncommon.
- Dizziness or lightheadedness: Some may feel faint or unsteady.
- Chills or hot flashes: Sudden changes in body temperature are frequently reported.
- Numbness or tingling: Sensations of paresthesia, especially in the hands or face.
- Feeling detached from reality: Experiences of depersonalisation or derealisation may occur.
- Fear of losing control or dying: An overwhelming sense of impending doom or catastrophe.
Evaluating a person's symptoms is crucial for proper diagnosis and treatment, as it helps medical professionals determine the appropriate therapy and medication options.
Anxiety Attack Symptoms
Anxiety attacks, while not formally recognised as a clinical diagnosis, refer to episodes of heightened anxiety that build gradually in response to stressors. Symptoms may include:
- Excessive worry or fear: Persistent, uncontrollable anxious thoughts.
- Restlessness or feeling on edge: A constant sense of unease or anticipation.
- Muscle tension or headaches: Chronic tension can lead to discomfort and pain.
- Trouble concentrating: Difficulty focusing due to intrusive worries.
- Irritability: Heightened emotional sensitivity and reactivity.
- Fatigue: Ongoing anxiety can be physically and mentally exhausting.
- Sleep disturbances: Problems with falling asleep, staying asleep, or experiencing restful sleep.
- Mild physical symptoms: Such as sweating or increased heart rate, typically less intense than those seen in panic attacks.
The severity of these symptoms can vary significantly from person to person, influencing the types of treatment options that may be most effective.
Triggers: What Sets Them Off?
Panic Attacks
Panic attacks often occur unexpectedly, with no clear external trigger. They may sometimes be linked to specific phobias or situations, but frequently arise “out of the blue,” making them especially distressing for those affected.

Anxiety Attacks
In contrast, anxiety attacks are typically triggered by identifiable stressors. These may include work-related pressures, health concerns, relationship issues, or significant life changes. The anxiety builds gradually as the individual continues to confront or anticipate the stressor. Engaging in therapy, particularly interpersonal therapy and cognitive behavioral therapy (CBT), is crucial in helping individuals identify triggers that lead to their symptoms.
Why Does It Matter?
Distinguishing between panic attacks and anxiety attacks is not merely a matter of terminology. It is crucial for:
- Selecting appropriate interventions: Different symptoms may respond better to specific therapeutic approaches.
- Accurate diagnosis and treatment: Healthcare providers can tailor interventions, whether cognitive-behavioural therapy, medication, or lifestyle modifications, to the individual’s needs.
- Preventing misdiagnosis: Proper identification ensures timely and effective support, reducing the risk of prolonged distress.
A clear understanding of your symptoms empowers you to seek the most effective care and enhances communication with your healthcare provider. It is also important to distinguish panic and anxiety attacks from other medical conditions with similar symptoms, such as heart disease or thyroid problems, during a healthcare provider's evaluation.
Anxiety Disorders
Anxiety disorders are a type of mental health condition that can cause significant distress and impairment. They include conditions such as panic disorder, social anxiety disorder, and generalized anxiety disorder. Anxiety disorders can be triggered by various factors, including genetic predisposition, traumatic events, and stressful situations. Symptoms of anxiety disorders can vary, but common symptoms include excessive worry, fear, and anxiety, as well as physical symptoms such as rapid heart rate, difficulty breathing, and shaking sensations. Anxiety disorders can be treated with therapy, medication, or a combination of both. It’s essential to seek help from a mental health professional if you’re experiencing symptoms of an anxiety disorder.
Panic and Anxiety Attacks Treatment
Treatment for panic and anxiety attacks typically involves a combination of therapy, medication, and self-help strategies. Cognitive-behavioral therapy (CBT) is a common treatment for panic disorder and anxiety disorders. CBT focuses on identifying and challenging negative thought patterns that contribute to anxiety and panic symptoms. Medications such as selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines can help reduce symptoms of anxiety and panic attacks. Self-help strategies such as deep breathing, progressive muscle relaxation, and exercise can also help manage anxiety and panic symptoms. It’s essential to work with a mental health professional to develop a treatment plan that’s tailored to your specific needs.
Healthcare Provider Role
Healthcare providers play a crucial role in diagnosing and treating mental health conditions, including anxiety disorders and panic attacks. A healthcare provider will typically conduct a physical examination, take a medical history, and perform laboratory tests to rule out any underlying medical conditions that may be contributing to symptoms. They will also ask questions about your symptoms, including their intensity, duration, and impact on your daily life. Based on this evaluation, they may make a diagnosis and develop a treatment plan that’s tailored to your specific needs. It’s essential to work with a healthcare provider who has experience in treating mental health conditions.
When to Seek Help
If you experience frequent, severe, or disruptive symptoms, it is important to consult with a mental health professional. Persistent anxiety or panic can significantly impact quality of life, but effective treatments are available. Seeking support is a proactive step towards improved well-being. If you experience panic attacks, it is crucial to seek help to manage and understand the underlying causes.
Take the Next Step Toward Support
If you are considering professional help, Rocket Health is an excellent resource for finding qualified therapists. Our platform connects individuals with experienced mental health professionals who can provide tailored support for anxiety, panic attacks, and related concerns.
Taking the first step toward professional guidance can make a meaningful difference in your journey to better mental health. Additionally, incorporating home remedies such as exercise, relaxation techniques, and a balanced diet can be beneficial in managing anxiety and panic attacks.
Remember: Timely intervention and professional support are key to managing anxiety and panic effectively. Your mental health is important- reach out and take the next step toward well-being.
Frequently Asked Questions
What is the 3-3-3 rule for panic attacks?
A: The 3-3-3 rule for panic attacks is a grounding technique that helps calm the mind by shifting focus to the present moment. It involves three steps: first, identify 3 things you can see around you; second, notice 3 sounds you can hear; and third, move 3 parts of your body (such as wiggling your fingers or toes). This sensory engagement interrupts anxious thoughts and activates the body’s relaxation response, helping to reduce panic symptoms quickly and effectively.
How do I know if it’s a panic attack or something more serious (like a heart attack)?
A: If you have chest pain, shortness of breath, or symptoms that are new or severe, seek medical attention immediately. It’s always better to be safe and rule out physical causes.
What treatments help with panic and anxiety attacks?
A: Cognitive-behavioral therapy (CBT), medication, relaxation techniques, and lifestyle changes can all help. Your provider will tailor treatment to your specific needs. Additionally, individuals often feel worried after experiencing a panic attack, so addressing these lingering emotional effects is also important.