Understanding Panic Attacks: Recognizing Symptoms and Seeking Help
Psychology for Black Girls ·
Is It a Panic Attack?
Your heart races, your chest feels tight, and you struggle to catch your breath. You might experience shaking hands, dizziness, or a sense of disconnection from your surroundings. In that moment, a thought strikes: Something is seriously wrong with me.
Perhaps you fear you are having a heart attack or that you might faint. It’s unsettling, especially when nothing particularly frightening is happening around you. You could be driving, shopping, or simply lying in bed when this overwhelming wave of fear hits. This sudden surge of intense anxiety often signals a panic attack.

Understanding the physical sensations of panic.
Panic Can Feel Extremely Physical
Panic attacks are often mischaracterized as mere moments of intense worry. In reality, they can manifest as a range of physical symptoms, including:
Racing or pounding heartbeat
Sweating and trembling
Shortness of breath and chest discomfort
Dizziness and chills
Nausea and tingling sensations
A sense of detachment from reality
These sensations can arise suddenly, leading your brain to interpret them as signs of danger. Thoughts like My heart is racing. Something must be wrong with my heart. can spiral into a cycle of fear, intensifying your physical symptoms.
“But I Wasn't Even Anxious”
This confusion is common. Many expect panic attacks to occur only during moments of stress, but they can strike unexpectedly. You might find yourself in a calm situation, only to feel your body hit an emergency button.
This unpredictability can lead to a heightened fear of future attacks. You may start monitoring your body constantly, worrying about rapid heartbeats or lightheadedness. This fear can restrict your activities and change how you live your life.

Finding peace amidst panic.
A Panic Attack Is Not the Same Thing as Panic Disorder
Experiencing a panic attack does not mean you have panic disorder. Panic attacks can occur in various contexts and alongside different mental health conditions. Some individuals may only have one or a few panic attacks without developing an ongoing disorder.
Panic disorder is characterized by recurrent, unexpected panic attacks and persistent concern about future attacks. This fear can lead to significant changes in behavior, such as avoiding situations that might trigger another attack. Life can become centered around the question: What if it happens again? Seeking professional help is vital in these situations.
What Can You Do While It Is Happening?
When panic strikes, your instinct may be to resist the sensations. Instead, try to ground yourself in the present moment:
Place both feet firmly on the ground.
Observe your surroundings—identify what you can see and hear.
Remind yourself: My body is in alarm mode. I can let this wave pass.
Focus on slowing your breathing rather than taking rapid, shallow breaths. This can help reduce lightheadedness and tingling sensations. Remember, you are not trying to achieve instant calm; you are simply signaling to your nervous system that an emergency is not occurring.
Do Not Automatically Assume Every Symptom Is Anxiety
It’s crucial to recognize that symptoms like chest pain, dizziness, and heart palpitations can also indicate medical conditions. If these symptoms are new, severe, or concerning, seek medical attention. This is especially important for symptoms like significant chest pain or difficulty breathing.
Taking your physical health seriously does not mean neglecting your mental health. Both are important and deserve attention.
The Fear of Panic Can Become More Limiting Than Panic Itself
Imagine experiencing a panic attack while driving. The next day, you might choose to take side streets instead. Over time, you may avoid highways altogether, limiting your freedom and mobility. This avoidance can reinforce the fear, leading you to believe that avoiding certain situations keeps you safe.
Effective treatment for panic often involves gradually learning to tolerate uncomfortable sensations rather than organizing your life around avoidance. Cognitive behavioral therapy can be beneficial, helping you understand the panic cycle and face feared sensations or situations. Medication may also be an option to discuss with a qualified provider.
You Are Not “Going Crazy”
Panic can distort ordinary bodily sensations, making them feel catastrophic. Remember, this does not mean you are weak or losing control. Your body’s alarm system is designed to protect you, and during panic, it can activate intensely even without immediate danger.
Understanding what happens during a panic attack can demystify the experience, making it less powerful over time.
Do Not Let Your Life Keep Getting Smaller
Be mindful if you find yourself making more decisions based on avoiding panic attacks. You might stop traveling, avoid stores, or need someone with you whenever you leave home. These changes warrant attention.
Treatment is not solely about eliminating panic attacks; it’s also about reclaiming the parts of your life that fear has taken away. If panic attacks are recurring or affecting your quality of life, reach out to a qualified mental health professional. You don’t have to wait until your world has become very small before seeking help.
Psychology for Black Girls provides educational resources to help Black girls, women, parents, and families better understand psychological and emotional health.
This article is for educational purposes and does not replace individualized medical or mental health care. New or severe chest pain, significant difficulty breathing, fainting, or other symptoms of a possible medical emergency require appropriate medical evaluation.