- Signs and Symptoms
- When to See the Doctor
What is an anxiety attack?
Anxiety can occur during everyday life, it could be fleeting or it could persist and build. But if you have an anxiety disorder, you may feel your anxiety or panic overwhelm you with intense anxiety and fear.
The terms "anxiety attack" and "panic attack" may be used interchangeably but they are different. A panic attack is a short burst of fear that seems to happen suddenly and could happen one time or many times in a row.
Anxiety attacks may have similar characteristics to a panic attack, but they often build up over time from underlying anxiety symptoms, instead of popping up out of nowhere. Anxiety attacks are most often connected to an anxiety disorder.
Recognizing the signs and symptoms of an anxiety attack is important for knowing how to care for yourself and when you should seek help.
Signs and symptoms of anxiety attack
Anxiety attacks can happen out of nowhere or gradually build into an overwhelming sense of fear and panic. They often get confused with panic attacks, and some symptoms do overlap. But anxiety attacks are different and have different indicators. It's important to distinguish common anxiety symptoms and signs of an anxiety attack.
Common anxiety symptoms include:
- Feeling nervous or restless
- Having a sense of impending danger
- Trouble concentrating or thinking about anything other than present worry
- Gastrointestinal (GI) problems
- Difficulty controlling worry
- Having the urge to avoid things that trigger anxiety
Anxiety attacks are a build-up of common anxiety symptoms and are intensified episodes of panic or fear. They usually peak within 10 minutes and should not last more than 30 minutes. The symptoms of an anxiety attack are:
Surge of overwhelming panic
You may feel like you are in danger or something bad is going to happen. This will occur out of nowhere, which may increase your feeling of panic or impending doom.
Feeling of losing control
Adding to the feeling of panic, you may feel like you are losing control of yourself or your surroundings.
Chest pain or heart palpitations
Anxiety attacks have physical symptoms like an increased heart rate, which can make you think you're having a heart attack. The increased heart rate should last no more than 30 minutes, usually subsiding in 10 minutes.
The feeling of panic and increased heart rate may make you feel like you can't breathe or are choking. You may also start to hyperventilate if you are gasping for breath.
Hot flashes or chills
You may feel nauseous or have intense stomach cramps when you have an anxiety attack.
A detached feeling from reality
You may feel a sense of detachment or feel like your situation is unreal during an anxiety attack.
If you are experiencing these symptoms and feel like they are increasing in frequency and getting out of your control, you should seek support from a trusted individual or doctor.
Types of anxiety disorders
Anxiety attacks can stem from an anxiety disorder. There are several types of anxiety disorders. Below are three common anxiety disorders that lead to anxiety attacks:
Generalized anxiety disorder (GAD)
This anxiety disorder is diagnosed in people that experience excessive anxiety or worry for more than 6 months. You may have many worries, like health, finances, relationships, or work.
This type of anxiety disorder is when you fear places or situations that may cause you panic. You will find yourself avoiding these situations that make you feel trapped, helpless or embarrassed.
A panic disorder is diagnosed in people who have recurrent unexpected panic attacks. You may be in constant worry about when or how your next panic attack will occur.
Causes of anxiety attacks
There are several causes of anxiety. Common ones are:
- Work stressors
- Financial pressure
- Family or relationship problems
- Coping problems
- Reduced mobility or physical function
- Loss of mental function
When these stressors become overwhelming, you may experience an anxiety attack. Anxiety attacks will occur randomly, but they can be triggered by:
Underlying Medical Conditions
Anxiety can be a symptom of certain medical problems. Some of these medical problems may be:
Many types of stress or traumatic events can cause anxiety. Stress can build up, and small matters can become overwhelming and trigger an anxiety attack. People who have experienced traumatic events as a child or adult are more likely to develop an anxiety disorder.
Anxiety disorders can be genetic. It's a good idea to talk with your family openly about their experience with anxiety.
Drug or alcohol use
Drug or alcohol use, misuse, or withdrawals can trigger anxiety attacks or worsen anxiety.
When to see the doctor for anxiety attacks
Anxiety may come and go throughout your life. It is common for people to experience worry in their lives. If your anxiety and worries persist and result in multiple anxiety attacks, you’ll want to schedule a visit with your doctor.
It’s important to see your doctor if:
- You’re worrying too much and it’s interfering with your normal daily activities
- Your fear, anxiety, or worry is too difficult to control
- You feel depressed or have other mental health concerns along with anxiety
- You have suicidal thoughts or behaviors — if you feel this way, you should contact the National Suicide Prevention Lifeline
Diagnosing anxiety attacks
Once you have sought out medical help, your doctor will give you a physical and psychological evaluation. They will try to see if your anxiety symptoms come from underlying medical conditions. They will run blood tests to determine that you do not have an illness. Once they've determined your anxiety is not linked to drug use or a physical medical condition, they'll refer you to a mental health professional.
Once you've been referred, your mental health provider will give you a psychological evaluation. They will have a discussion with you to talk about your thoughts, feelings, and behaviors to determine where your anxiety attacks could be coming from. They will compare your symptoms to the DSM-5 to diagnose an anxiety disorder.
Latest Mental Health News
Daily Health News
Treatments for anxiety attacks
When anxiety attacks take control of your life and you have a diagnosed anxiety disorder, your doctor may suggest two forms of treatment:
Talk therapy is the first approach to treating anxiety attacks. You and your therapist will discuss what might be the root cause of your anxiety disorder. Psychotherapy helps give you the skills to healthily cope with the symptoms of anxiety. The common types of therapy are cognitive-behavior therapy and exposure therapy.
There are several types of medication that help relieve anxiety attack symptoms. The type of medicine will depend on the anxiety disorder or other mental health issues you may be facing. Certain antidepressants can treat anxiety. Your doctor may prescribe an anti-anxiety medicine, like buspirone.
Along with these two types of treatment, there are things you can try at home to help you cope when symptoms start to begin:
- Getting enough sleep
- Exercising regularly
- Getting social support from trusted loved ones or friends
Health Solutions From Our Sponsors
Archives of General Psychiatry: "The Structure of Genetic and Environmental Risk Factors for Anxiety Disorders in Men and Women."
Beyond Blue: "What causes anxiety?"
HelpGuide: "Anxiety disorders and anxiety attacks."
Michigan Medicine: "Panic Attack vs Anxiety Attack: 6 Things to Know."
National Institute of Mental Health: "Anxiety disorders."
National Suicide Prevention Lifeline: "Homepage."
Nationwide Children's: "Panic Attack or Anxiety Attack? What Is the Difference?"
Top What Happens During an Anxiety Attack Related Articles
AnxietyAnxiety is a feeling of apprehension and fear characterized by symptoms such as trouble concentrating, headaches, sleep problems, and irritability. Anxiety disorders are serious medical illnesses that affect approximately 19 million American adults. Treatment for anxiety may incorporate medications and psychotherapy.
Anxiety & Panic Disorders: Risk Factors for AnxietyDo you feel anxious? Many things could make it more likely. Learn more, including what you can do if you feel anxious.
Anxiety, Stress, and WorryWant to find ways to reduce anxiety, stress, and worry? Find treatments to ease stress, eliminate worry, and combat anxiety as you discover how stress affects your body. Learn whether stress fights colds or encourages them, why some stress is bad and some is good, and why exercise and diet can be relaxing.
Duck SyndromeDuck syndrome is a situation initially coined at Stanford University whereby a college student may seem to be calm on the surface when actually he or she is frantically struggling to stay above water to meet the demands of student life.
Anxiety SlideshowLearn about generalized anxiety disorder (GAD). See if your worries are normal or something more by learning about symptoms, diagnosis, and treatments of anxiety disorders.
How Do You Treat Agoraphobia?Learn what medical treatments can help ease your agoraphobia symptoms and help you manage this condition.
Is Valerian Root Good for Anxiety?Valerian is an herb that has been used for many centuries to help relieve anxiety and as a sleep aid in traditional medicine. The studies for proving the effectiveness of valerian root for sleep and anxiety have not been conclusive. More studies are required to prove its effectiveness and find the optimal dose.
Panic Attacks QuizCould you suffer a panic attack? Take this Panic Attacks Quiz to learn causes, symptoms, and treatments for panic disorder. Use this quiz to learn to recognize the main elements of this serious, yet common disorder known as panic attacks.
Panic AttacksPanic attacks are sudden feelings of terror that strike without warning. These episodes can occur at any time, even during sleep. A person experiencing a panic attack may believe that he or she is having a heart attack or that death is imminent. The fear and terror that a person experiences during a panic attack are not in proportion to the true situation and may be unrelated to what is happening around them. Most people with panic attacks experience several of the following symptoms: racing heartbeat, faintness, dizziness, numbness or tingling in the hands and fingers, chills, chest pains, difficulty breathing, and a feeling of loss or control. There are several treatments for panic attacks.
What Are the Signs, Symptoms, and Triggers of Agoraphobia?What is agoraphobia? Learn the signs of agoraphobia, how agoraphobia is diagnosed, when to see a doctor, and how to treat agoraphobia.
What Are the Six Types of Anxiety Disorders?Anxiety disorders cause worry, fear and panic as an irrational response to mundane situations. The six main types are generalized anxiety disorder, panic disorder, social anxiety, separation anxiety, trauma-related disorders and phobias.
What Does Anxiety Do to Your Body?It increases a person’s chances of suffering from other medical conditions, such as heart diseases, raised blood pressure, high cholesterol obesity, depression and diabetes. In short term, anxiety may cause sleep disturbances and poor work performance.
What is the Best Treatment for Hyperhidrosis?Excessive sweating is called hyperhidrosis. Treatment options for hyperhidrosis include prescription drying medications, injections and surgery.
What Symptoms Are Caused by Anxiety?It's normal to feel stressed or worried about things that happen in our everyday lives. However, people who experience anxiety disorders often feel heightened fear or worry about common situations.