Kay Parkinson
4 min read
21 Aug
21Aug

Managing and Reducing Panic Attacks: How Counselling Can Help

Introduction

Panic attacks can be an overwhelming experience, leaving those who suffer from them feeling frightened, vulnerable, and out of control. These intense surges of fear or discomfort can strike without warning, causing both physical and emotional symptoms that may last anywhere from minutes to hours. For many people, the unpredictability and severity of panic attacks can lead to a significant decrease in quality of life, affecting everything from personal relationships to work performance.At Place2Talk, I understand how debilitating panic attacks can be and the importance of finding effective strategies to manage and reduce them. As a private practitioner, my counselling services are tailored to meet the unique needs of each individual, offering support, guidance, and proven techniques to help you regain control over your life. In this blog, I’ll explore how counselling can play a crucial role in managing panic attacks and introduce you to three key methods for coping with and reducing panic symptoms.

Understanding Panic Attacks

Before delving into how counselling can help, it’s important to understand what panic attacks are and how they manifest. Panic attacks are sudden episodes of intense fear or anxiety that trigger severe physical reactions, even when there is no real danger or apparent cause. Common symptoms include:

  • Rapid heart rate or palpitations
  • Sweating and trembling
  • Shortness of breath or a feeling of choking
  • Chest pain or discomfort
  • Dizziness or light-headedness
  • Nausea or abdominal distress
  • Chills or hot flushes
  • Fear of losing control or "going mad"
  • Fear of dying

While panic attacks are not life-threatening, they can be incredibly distressing and may mimic the symptoms of a heart attack or other serious medical conditions, leading many to seek emergency medical care. Unfortunately, without proper intervention, panic attacks can become more frequent and severe over time, sometimes leading to panic disorder—a condition characterised by recurrent panic attacks and persistent fear of having another one.

The Role of Counselling in Managing Panic Attacks

Counselling can be a powerful tool in helping individuals manage and reduce the frequency of panic attacks. By working with a trained therapist, you can explore the underlying causes of your panic attacks, develop effective coping strategies, and learn to challenge the thoughts and behaviours that contribute to your anxiety. Here are some of the key ways counselling can assist in managing panic attacks:

  1. Identifying Triggers and Underlying Causes

One of the first steps in counselling for panic attacks is identifying the triggers that lead to these episodes. Triggers can be external, such as stressful situations or environments, or internal, such as specific thoughts or memories. By recognising what triggers your panic attacks, you can begin to develop strategies to avoid or manage these situations.In addition to identifying triggers, counselling can help you explore the underlying causes of your panic attacks. For some, panic attacks may be linked to unresolved trauma, chronic stress, or deep-seated fears. A therapist can guide you in uncovering these root causes and working through them in a safe and supportive environment.

  1. Developing Coping Strategies

Counselling provides a space to learn and practice coping strategies that can reduce the intensity and frequency of panic attacks. These strategies may include breathing exercises, mindfulness techniques, and cognitive-behavioural therapy (CBT). By equipping yourself with these tools, you can take proactive steps to manage your anxiety and prevent panic attacks from taking over your life.

  1. Challenging Negative Thought Patterns

Panic attacks are often fuelled by negative thought patterns and catastrophic thinking. During a panic attack, it’s common to believe that something terrible is happening or that you are in grave danger. Counselling can help you challenge these irrational thoughts and replace them with more balanced and realistic perspectives. Through CBT and other therapeutic approaches, you can learn to reframe your thinking and reduce the power that anxiety holds over you.

  1. Building Resilience and Emotional Strength

In addition to addressing immediate symptoms, counselling can help you build long-term resilience and emotional strength. This may involve developing healthier coping mechanisms, improving your self-esteem, and learning to navigate stress more effectively. Over time, these changes can lead to a reduction in the frequency and severity of panic attacks, as well as an overall improvement in your mental health and well-being.

3 Ways to Cope with and Reduce Panic Symptoms

While counselling offers a comprehensive approach to managing panic attacks, there are also practical techniques you can use on your own to cope with and reduce panic symptoms. Here are three methods that have proven effective for many people:

  1. Breathing Techniques

Breathing exercises are one of the most effective tools for managing panic attacks. When you’re in the midst of a panic attack, your body’s fight-or-flight response is activated, leading to rapid, shallow breathing. This can cause an imbalance of oxygen and carbon dioxide in your body, which exacerbates feelings of anxiety and panic.By practising controlled breathing, you can help regulate your body’s response and calm your nervous system. One technique to try is diaphragmatic breathing, also known as deep breathing or belly breathing. Here’s how to do it:

  • Sit or lie down in a comfortable position.
  • Place one hand on your chest and the other on your abdomen.
  • Take a slow, deep breath in through your nose, allowing your abdomen to rise as your lungs fill with air. The hand on your abdomen should rise higher than the one on your chest.
  • Exhale slowly through your mouth, allowing your abdomen to fall as the air is released.
  • Continue this pattern, focusing on the rise and fall of your abdomen, for several minutes or until you feel calmer.

Deep breathing helps activate the body’s relaxation response, reducing the physical symptoms of a panic attack and restoring a sense of calm.

  1. Mindfulness and Grounding Techniques

Mindfulness is the practice of staying present and fully engaged in the moment, without judgment. It can be particularly helpful during a panic attack, as it allows you to focus on the present moment rather than getting lost in catastrophic thoughts or fears about the future.One effective mindfulness technique for managing panic attacks is grounding. Grounding involves focusing on your physical surroundings and senses to anchor yourself in the present. Here’s a simple grounding exercise you can try:

  • 5-4-3-2-1 Exercise: Identify 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. By engaging your senses, you can distract yourself from anxious thoughts and bring your focus back to the present.

Mindfulness and grounding techniques can help you stay centred during a panic attack, reducing the intensity of your symptoms and helping you regain control.

  1. Cognitive Restructuring

Cognitive restructuring is a technique used in cognitive-behavioural therapy (CBT) to challenge and change negative thought patterns. During a panic attack, it’s common to experience catastrophic thinking—believing that the worst possible outcome is imminent. Cognitive restructuring involves identifying these irrational thoughts and replacing them with more realistic, balanced perspectives.Here’s how you can practise cognitive restructuring on your own:

  • Identify the negative thought: For example, you might think, "I’m going to die" during a panic attack.
  • Examine the evidence: Ask yourself, "What evidence do I have that supports this thought? What evidence do I have that contradicts it?" In most cases, you’ll find that there is little or no evidence to support the catastrophic thought.
  • Challenge the thought: Consider alternative explanations or outcomes. For example, "I’m having a panic attack, and while it feels scary, it’s not life-threatening. I’ve got through this before, and I can do it again."
  • Replace the thought: Replace the negative thought with a more balanced, reassuring statement, such as "I am safe, and this will pass."

By challenging and reframing negative thoughts, you can reduce the intensity of your anxiety and prevent panic attacks from escalating.

Counselling at Place2Talk

While the techniques mentioned above can be incredibly helpful, managing panic attacks often requires more than self-help strategies alone. At Place2Talk, I offer professional counselling services designed to provide you with the support and guidance you need to effectively manage and reduce panic attacks.As an experienced therapist, I understand the complexities of anxiety and panic disorders and am committed to helping you regain control over your life. Through a personalised approach, I’ll work with you to identify your unique triggers, develop effective coping strategies, and address the underlying causes of your anxiety.Counselling offers a safe, non-judgemental space where you can explore your thoughts and feelings, learn new skills, and build resilience. Whether you’re dealing with occasional panic attacks or struggling with a more severe anxiety disorder, I’m here to help you every step of the way.Don’t let panic attacks control your life. Take the first step towards healing by booking a session with me at Place2Talk. I’m ready to support you on your journey to recovery and help you build a future free from the grip of panic.

Conclusion

Panic attacks can be a daunting and isolating experience, but you don’t have to face them alone. Counselling provides a powerful means of managing and reducing the symptoms and frequency of panic attacks, offering a pathway to greater peace of mind and emotional well-being. By working with a therapist, you can uncover the underlying causes of your anxiety, develop effective coping strategies, and build the resilience needed to overcome panic attacks.At Place2Talk, I am dedicated to helping you regain control over your life and achieve lasting relief from panic attacks. Whether you’re just beginning your journey or looking for additional support, my counselling services are here to guide you towards a brighter, calmer future.

Don’t wait any longer—reach out today and take the first step towards managing your panic attacks. Together, we can help you find the peace and stability you deserve.