Thu Nov 21 2024
How to Stop a Panic Attack: 5 Techniques That Help Right Now
Five practical techniques to ride out a panic attack, what to say to yourself in the moment, red flags that need urgent care, and when to get support.
Published by Lyte Psychiatry · Meet our care team

To stop a panic attack, you usually cannot force it off, but you can help it pass faster: slow your breathing with a long exhale, tell yourself it is panic, ground your senses in the room, loosen tense muscles, and stay where you are until the wave peaks and falls. These steps calm the body's alarm instead of feeding it.
This article is for adults and older teens who have had a panic attack, or fear one, and want something practical to do in the moment. It is also for partners and parents who want to know how to help. If you are not sure whether your symptoms are panic or a medical emergency, read the red-flags section first.
What is happening in your body during a panic attack?
A panic attack is a sudden surge of fear with strong physical symptoms, even though no real danger is present. MedlinePlus describes panic attacks as sudden periods of intense fear, discomfort or a sense of losing control, often with a racing heart, sweating, trembling, trouble breathing, chest pain and dizziness.
Those sensations come from the body's threat response. Your heart speeds up, breathing gets quick and shallow, and muscles brace. Fast breathing can then cause light-headedness and tingling, which feel like proof that something is wrong. That loop is why panic can feel like it is building on itself.
MedlinePlus also notes that an attack can last anywhere from a few minutes to over an hour. Knowing it has a beginning, a peak and an end is one of the most useful things to remember when you are in it.
If you want a deeper look at causes, see why panic attacks happen and what your body is signaling.
How do you stop a panic attack step by step?
The fastest way to settle a panic attack is to work with the body, one simple action at a time. The National Center for Complementary and Integrative Health (NCCIH) says relaxation techniques are generally considered safe for healthy people, though a few people report feeling more anxious while doing them. If one step makes you feel worse, switch to another.
- Slow the exhale. Breathe in gently through your nose, then breathe out through pursed lips, as if cooling soup, letting the exhale run longer than the inhale. Repeat for a minute or two.
- Name it. Say, silently or aloud, "This is a panic attack. It is uncomfortable, and it will pass."
- Ground your senses. Name five things you can see, four you can touch, three you can hear, two you can smell and one you can taste.
- Release your muscles. Drop your shoulders, unclench your jaw, open your hands, and press your feet into the floor.
- Stay and let it crest. If you are safe, stay where you are rather than escaping. Let the sensations rise and fall without fighting them.
MedlinePlus lists pursed-lip and diaphragmatic breathing as ways to manage hyperventilation, which often happens during panic. Slow belly breathing can help many people feel steadier within minutes.
Why does the long exhale help?
A longer, slower exhale works because it counters the quick, shallow breathing that drives dizziness and tingling. When breathing slows, the body gets a signal that the emergency is over, and the alarm often begins to quiet.
If you only remember one tool to stop a panic attack, make it this one. Try not to gulp air or take huge breaths. Gentle and slow matters more than deep. Place one hand on your belly and let it rise on the inhale. Many people find it easier to count, for example in for a count of four and out for a count of six. The exact count matters less than making the exhale longer.
MedlinePlus notes that emotional causes such as panic can lead to hyperventilation, and that a first episode of rapid breathing may be an emergency. Practice the long exhale on calm days so it feels familiar when you need it.
What should you say to yourself during a panic attack?
The most helpful words during panic are short, true and calming, not arguments with your fear. The National Institute of Mental Health (NIMH) explains that people with panic disorder can significantly change their lives to avoid another attack, so how you talk to yourself in the moment can shape what you avoid later.
Try one or two of these phrases. Pick the ones that feel honest to you:
- "This is panic. I have felt this before, and it passed."
- "My body is sounding a false alarm. I am not in danger right now."
- "I do not have to fix this. I only have to breathe slowly."
- "This feeling will peak and then come down."
- "I can stay here. I do not need to run."
If you are helping someone else, keep your voice calm, speak in short sentences, and breathe slowly next to them. Ask, "Do you want me to stay with you?" rather than telling them to calm down.
What can you do after the panic attack passes?
After a panic attack, the goal is to recover gently and learn from it without building new fears. Drink some water, eat something if you have not, and give yourself a few minutes before returning to what you were doing.
MedlinePlus notes that limiting alcohol and caffeine, keeping regular sleep and meals, and exercising may help people with panic disorder. A short note can also help: when it happened, what you were doing, how long it lasted and what helped. Patterns are useful to share with a clinician.
Example: a person notices that attacks cluster on days with little sleep and several cups of coffee. That observation gives them something concrete to change and to discuss at an appointment. If panic tends to hit at night, our guide on how to calm anxiety at night covers a bedtime plan.
When should you get help sooner? Red flags
Get emergency help right away if symptoms could be a medical problem rather than panic. The Centers for Disease Control and Prevention (CDC) lists heart attack symptoms such as chest pain or discomfort, feeling weak, light-headed or faint, pain in the jaw, neck, back, arm or shoulder, and shortness of breath, and says to call 911 immediately.
Call 911 or go to an emergency department if:
- You have chest pain, especially with sweating, nausea or pain spreading to the arm or jaw.
- This is your first episode of severe breathlessness or rapid breathing.
- You faint, cannot speak normally, or have weakness on one side of the body.
- Symptoms follow a new medicine, a drug, or an injury.
Call or text 988 if panic comes with thoughts of suicide or self-harm. Book an appointment soon if attacks are frequent, you dread the next one, or you are avoiding driving, work, stores or other places. Our article on your first anxiety attack and what comes next walks through that first conversation.
How are repeated panic attacks treated?
Repeated panic attacks are treatable, usually with therapy, medication or both. NIMH says cognitive behavioral therapy (CBT) is a research-supported psychotherapy commonly used to treat panic disorder, and that a provider may do a physical exam to make sure another problem is not causing the symptoms.
In CBT, people learn how panic works, practice tolerating body sensations, and gradually return to situations they have avoided. MedlinePlus adds that diagnosis may include blood tests to check for thyroid problems and other possible conditions.
Whether medication should be part of care is a decision to make with a prescriber. Our article on when therapy is enough for panic and when medication helps explains that choice in general terms.
Panic attack help in Texas: what to know
Texas has county-based public crisis services in addition to private outpatient care. Texas Health and Human Services lists 24/7 crisis lines run by local mental health authorities in each county; as of October 2026 it lists MHMR of Tarrant County at 1-800-866-2465.
For ongoing care, telehealth can make it easier to start. Lyte Psychiatry offers telehealth visits to patients who are physically located in Texas at the time of the visit. Rules for telehealth across state lines vary by state, so if you travel, check before booking a visit from another state.
Getting support in Texas
If panic attacks are shaping your days, you do not have to manage them alone. Learning to stop a panic attack in the moment is a start; treatment can make attacks less frequent. Lyte Psychiatry can help you sort out what is driving the attacks and build a plan that fits your life.
Lyte Psychiatry offers therapy, psychiatric evaluation and medication management in Texas. In-person visits are available at Lyte Psychiatry's clinic in Pantego, in the Dallas–Fort Worth area. Lyte Psychiatry offers telehealth visits to patients who are physically located in Texas at the time of the visit. All Lyte Psychiatry services are available in Spanish.
Most new patients are seen within 1–2 business days. Weekend appointments are limited. Availability, insurance and clinician fit require confirmation. You can learn more about anxiety and panic care, read about telehealth across Texas, or contact the practice to ask about a first visit.
Lyte Psychiatry is an outpatient practice. It does not provide inpatient care, crisis or after-hours coverage, medically supervised detox, or intensive outpatient or partial hospitalization programs.
If you are in a mental-health crisis in the United States, call or text 988. Call 911 for immediate danger.
Educational information, not a diagnosis or individual treatment plan.
Common Questions
Frequently Asked Questions
How long does a panic attack last?
MedlinePlus says a panic attack can last anywhere from a few minutes to over an hour. Many people notice the worst of it passes sooner when they stop fighting the sensations and slow their breathing. If attacks keep returning or last a long time, talk with a health care provider about evaluation and treatment.
Can you stop a panic attack once it has started?
You usually cannot switch a panic attack off instantly, but you can often shorten it and make it less frightening. Slow breathing with a long exhale, naming what is happening, grounding your senses and relaxing tense muscles all help many people ride the wave until the body settles on its own.
Is it a panic attack or a heart attack?
The symptoms can overlap, and you cannot always tell the difference yourself. The CDC lists chest pain, shortness of breath, feeling faint and discomfort in the jaw, neck, back, arm or shoulder as heart attack symptoms. If you have chest pain or this is your first episode, call 911 rather than assuming it is panic.
Why do panic attacks happen for no reason?
The National Institute of Mental Health (NIMH) notes that panic attacks in panic disorder are often unexpected. The body's alarm system fires even when there is no real danger. Stress, poor sleep, caffeine, alcohol and medical problems can lower the threshold, which is why a provider may check physical causes such as thyroid problems.
Does breathing into a paper bag help a panic attack?
Paper-bag breathing is not a technique this article recommends. A safer option is slow, gentle breathing with a longer exhale, such as pursed-lip breathing, which MedlinePlus describes for hyperventilation. If you feel short of breath and are not sure why, or the episode is new for you, seek urgent medical care.
When should I see someone about panic attacks?
Consider an appointment if attacks are recurring, you worry about the next one, or you have started avoiding places, driving or activities. NIMH says cognitive behavioral therapy is commonly used to treat panic disorder, and treatment can also include medication. A provider can also rule out medical causes of the symptoms.
Can I get help for panic attacks through telehealth in Texas?
Yes, telehealth is one option. Lyte Psychiatry offers telehealth visits to patients who are physically located in Texas at the time of the visit, along with in-person visits in Pantego. Availability, insurance and clinician fit require confirmation when you contact the practice.
Further Reading
NIMH — Anxiety Disorders
Diagnostic criteria and treatment options
ADAA — Anxiety Statistics
40M Americans affected — prevalence and impact data
APA — Anxiety Overview
Clinical summary from the American Psychological Association
These topic resources supplement the references linked within the article.
Your next steps for anxiety care
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