Panic disorder

Panic disorder involves repeated, unexpected panic attacks — short episodes of intense fear or discomfort. The material below provides general information and guidance on where to seek specialist assessment; it is not a substitute for personal medical evaluation.

What is panic disorder?

Panic disorder is an anxiety condition marked by recurrent panic attacks: sudden surges of intense fear or discomfort that typically peak within minutes. These episodes can be unpredictable and may affect daily functioning, work and social life. Diagnosis is based on clinical history, symptom patterns and frequency and is made by a healthcare professional.

Common symptoms of panic attacks

Panic attacks can cause a mix of physical and emotional signs, which vary between people. Common features include a racing heart or palpitations, sweating, trembling, shortness of breath or a choking sensation, chest discomfort, dizziness or lightheadedness, sensations of numbness or tingling, hot or cold flushes, feelings of unreality or detachment, and intense fear of losing control or dying.

Triggers and related factors

Attacks may be linked to high stress, specific phobias, stimulants such as caffeine, irregular sleep, or major life events. A family history of anxiety disorders and coexisting mental health conditions such as depression can increase risk. Sometimes attacks occur without an identifiable trigger.

Assessment and which specialist to see

A good first step is discussing symptoms with a primary care physician, who can assess physical causes and refer to mental health specialists if needed. Psychiatry and clinical psychology are commonly involved in further evaluation and care planning. If symptoms include severe chest pain, profound breathlessness, fainting, sudden weakness, or other worrying neurological signs, seek urgent medical evaluation or emergency services.

Practical steps and support

Keeping a record of episodes, when they occur and possible triggers can help clinicians assess the problem. Practical measures—like talking with a trusted person, learning grounding techniques, and planning how to seek help—can provide short‑term relief, but professional assessment is important to determine appropriate next steps. Local support groups and helplines can also offer information and signposting.

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