what happens during a panic attack

a panic attack is your body's fight-or-flight response activating when there's no real danger. your heart races, you might feel like you can't breathe, and fear can feel overwhelming. it's terrifying, but it's also temporary.

remember: you're not dying. you're not going crazy. this will pass.

grounding techniques for the moment

when a panic attack starts, grounding techniques can help bring you back to the present:

5-4-3-2-1 method

name five things you can see, four things you can touch, three things you can hear, two things you can smell, and one thing you can taste. this forces your mind to focus on your senses instead of the panic.

temperature change

hold something cold (ice, cold water) or warm (a warm cup of tea). the temperature change can help interrupt the panic cycle and ground you in your body.

breathing techniques

when panic hits, your breathing becomes shallow. try this:

breathe in for 4 counts
hold for 4 counts
breathe out for 4 counts
hold for 4 counts
repeat

this isn't about stopping the panic—it's about giving your body a rhythm to follow.

long-term strategies

identify triggers

keeping a gentle journal can help you notice patterns. what situations, thoughts, or sensations tend to precede panic attacks? awareness is the first step toward change.

regular practice

grounding techniques work better when you practice them regularly, not just during panic attacks. try incorporating breathing exercises or mindful check-ins into your daily routine. if you also experience anxiety at night, these same techniques can help.

lifestyle factors

certain lifestyle factors can reduce panic attack frequency:

sleep—prioritize consistent, restful sleep
caffeine—reduce or eliminate caffeine if it triggers anxiety
movement—gentle movement like walking or stretching can help regulate your nervous system
connection—having supportive relationships can provide a sense of safety

when to seek additional support

if panic attacks are significantly impacting your life, consider:

speaking with a therapist who specializes in anxiety
discussing options with a healthcare provider
joining a support group
exploring therapy approaches like cbt or emdr

there's no shame in needing help. panic attacks are treatable, and you don't have to manage them alone.

if you're also dealing with anxiety attacks or social anxiety, many of these techniques can help with those experiences too.

remember

panic attacks feel overwhelming, but they're temporary. you have tools. you have support. and you have the capacity to heal. at squish, we're here to hold space for whatever you're experiencing.