How to Stop Panic Attacks

A calm, body-based guide to what to do during panic and how to reduce future attacks.

What to Do During a Panic Attack

When a panic attack hits, your first job is not to force it away. Your first job is to interrupt the fear spiral. Panic often gets louder when you fight the sensations, brace against them, or assume they mean immediate danger.

Instead, start here:

  • Name what is happening: “This is panic. It will pass.”

  • Relax your jaw, shoulders, and hands.

  • Exhale slowly, longer than you inhale.

  • Press your feet into the floor or chair.

  • Look around and name a few neutral things you can see.

  • Let the wave rise and fall without chasing certainty.

  • Panic attacks can create intense body sensations: racing heart, dizziness, chest tightness, nausea, trembling, heat, unreality, or the fear that something is terribly wrong. The experience is real, but the sensations are not always proof of catastrophe, which is why learning how to interpret them differently can change the whole cycle.

  • Many people accidentally strengthen panic by checking symptoms, forcing huge breaths, avoiding situations immediately, or treating every sensation like an emergency. These reactions make sense, but they can train the nervous system to stay on high alert.

  • Stopping panic attacks is not only about surviving the next one. It is also about understanding your triggers, calming the nervous system, supporting your body, and addressing the deeper patterns that keep panic returning.

  • If panic attacks are frequent, disruptive, or mixed with symptoms that are new or medically confusing, it is wise to seek professional support. Good care should help you feel both medically safe and emotionally understood.

Listen to this if you are having a panic attack: Transformational Meditation with Dr. Nicole Cain

Why Panic Attacks Happen

Panic attacks can feel like they appear out of nowhere, but they rarely come from nowhere. In my work with patients, I see panic as your body’s alarm system firing on overdrive after a buildup of stress, old learning, and nervous system overload.

Several ingredients tend to come together:

  • A sensitive nervous system that has learned to scan for danger

  • Body sensations (like a skipped heartbeat or dizzy spell) that your brain misreads as emergency

  • Life stressors, trauma history, sleep disruption, or stimulants such as caffeine

  • A pattern of bracing against sensations instead of understanding what your body is trying to say

When your brain decides “this sensation = danger,” it can trigger a surge of adrenaline, fast heart rate, shortness of breath, and a rush of fear — even when you are not actually in immediate physical danger. The good news is that anything learned can be re‑trained, and panic is highly treatable when we address both the body and the story you have been taught to tell about your symptoms.

  • “Dr. Cain’s Panic Proof is a beacon of hope for those struggling with panic disorders. Her focus on the body’s cues and the root causes of panic sets this book apart from others in the field. This is an invaluable resource for anyone seeking a holistic and sustainable path to panic freedom.”

    ~ Ellen Vora, MD, author of ‘The Anatomy of Anxiety’