Help, I’m having a panic attack

Broken out into a sweat? Heart going ten billion times a second? Feeling quite certain you’re about to die? You may be having a panic attack. Don't worry, just follow these instructions

Blurry crowd

Keep breathing, you're going to be OK.

You are not dying

You’re overdosing on adrenaline released by your body because you’re feeling scared. This means your chest is tight, you feel like you can’t breathe, your heart beats like crazy, and you feel like you’re going to faint or wet yourself.

You might also be feeling terrified and deeply alone and miserable.

While you might feel like you’re dying – a common experience – we promise none of this is fatal.

It will pass, usually within between ten minutes and half an hour.

Breathe in and out. Slowly.

Close your mouth and breathe using your nose.

Take a normal sized breath, for three seconds. Count along the seconds in your head.

Now breathe out – still through your nose – for another three seconds.

Picture something calming and beautiful – maybe waves lapping gently across an empty beach?

Keep breathing in using your nose.

In for three…out for three…in for three…out for three.

Do this for at least two minutes.

What just happened to me?

When we have scary thoughts, or are in scary situation (like being in a crowded place) our bodies are tricked into thinking we’re in danger. This is a biological hangover from our caveman times, when scary thoughts usually meant ‘THERE’S A MAMMOTH OUTSIDE ABOUT TO EAT ME’ and you needed adrenaline to be able to fight it off/run away quickly.

But if there isn’t a woolly mammoth outside, then there’s nowhere for this adrenaline to go. Your body can’t distinguish between mammoths and work stress/feeling squashed in a crowd. So this adrenaline causes all these horrible feelings of panic. When you then panic about these feelings, and thus release MORE adrenaline, you’ll likely trigger a panic attack.

How do other people cope with panic attacks?

Panic attacks are much more common than you think. Lots of young people suffer from them. We asked some of The Mix’s users how they cope when panic strikes:

Modo says: “Have a special word or image you can bring to mind when you’re having a panic attack. Oddly, my word is ‘But’. I remember reading The Phantom Tollbooth and Milo uses the word ‘but’ in a canon and it’s powerful enough to destroy the bad things that are happening.

Remember that you’re not actually dying. Your body is responding completely naturally to the influx of adrenaline. You’re not being silly and they’re nothing to be ashamed of. Breathing is crucial too.”

Idris says: “Sometimes I’ll try just to get out of the situation that’s causing the panic attack. Like if I’m on a crowded tube or something, I’ll get off so I can access better quality air.

I had CBT and I was taught to visualise myself in a bubble that can flex but not break. It sounds weird but it can really help to feel like no one can touch you.”

It hasn’t gone away!

Go to the doctor if:

You’ve followed these breathing exercises for over 20 minutes and nothing has changed.

Your breathing still hasn’t gone back to normal, and your chest stills hurts and feels tight.

You start having this experience regularly.

Next Steps

  • Mind offers advice and support to people with mental health problems. Their helpline runs nine to six from Monday to Friday. 0300 123 3393
  • Chat about this subject on our Discussion Boards.
  • Need help but confused where to go locally? Download our StepFinder iPhone app to find local support services quickly.

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Updated on 22-Dec-2015