Your heart is pounding. Your chest feels tight. Your thoughts are racing a million miles a minute. In this terrifying moment, one question screams louder than all others: “Is this a panic attack vs an anxiety attack?”
At Healing Springs Wellness, we help people navigate these overwhelming experiences every day. While the terms are often used interchangeably, understanding the difference is your first step toward effective management and profound relief.
Let’s clear up the confusion with a doctor-approved guide.
The Core Difference: Panic Attack vs Anxiety Attack
Think of it this way: Anxiety is often a response to a perceived threat in the future. Panic is a reaction to immediate danger, real or not.
- Anxiety Attack: Typically has a known trigger (a stressful job, a financial worry, a relationship conflict) and builds gradually, like a storm cloud gathering. It’s an intense version of our body’s natural warning system.
- Panic Attack: Often feels like it comes “out of the blue” with no clear trigger, striking with the sudden, devastating force of a lightning bolt. This is a key feature of anxiety versus panic disorder.
Breaking Down the Symptoms: Your Body’s Alarm System
Your body’s fight-or-flight response is activated in both cases, but the intensity and focus differ.
Anxiety Attack Symptoms
Anxiety often grows over hours or even days. You might experience:
- Persistent worry and rumination
- Restlessness and feeling “on edge”
- Muscle tension, headaches, or fatigue
- Difficulty concentrating
- Irritability and sleep disturbances
- A sense of dread about the future
The anxiety attack duration can be prolonged, sometimes lingering for hours or waxing and waning throughout a stressful day.
Learn everyday strategies to reduce your anxiety before it escalates into an attack.
Panic Attack Symptoms
A panic attack is an intense, abrupt surge of overwhelming fear and physical distress that peaks within minutes. Symptoms are severe and can feel life-threatening, including:
- Heart palpitations, pounding heart, or accelerated heart rate
- Sweating, trembling, or shaking
- Sensations of shortness of breath or smothering
- Feelings of choking
- Chest pain or discomfort
- Nausea or abdominal distress
- Dizziness, lightheadedness, or faintness
- Chills or heat sensations
- Derealization (feelings of unreality) or depersonalization (being detached from oneself)
- Fear of losing control or “going crazy”
- Fear of dying
This intense physical reaction is driven by a sudden adrenaline panic attack response, where your body is flooded with stress hormones.
The “Weatherman Panic Attack” and Internal Triggers
You might have seen the viral video of the local weatherman panic attack, where a news anchor experienced a live, on-air panic attack. This is a powerful, public example of how a panic attack can strike suddenly, even in the middle of a routine task, with no obvious external cause.
This highlights the concept of an internal panic attack. The trigger isn’t a scary event outside of you; it can be a thought, a bodily sensation, or a memory that unconsciously signals danger to your nervous system. It’s your body reacting to a threat only you can perceive, creating a devastating feedback loop of fear.
How to Calm a Panic Attack in the Moment
When a panic attack hits, grounding techniques are crucial. They help pull you out of the anxiety torrent in your mind and back into the present moment.
- Focus on Your Breath: Try 4-7-8 breathing. Inhale for 4 seconds, hold for 7, exhale slowly for 8. This directly counters hyperventilation and tells your nervous system to calm down.
- Use the 5-4-3-2-1 Method: Name 5 things you can see, 4 things you can feel, 3 things you can hear, 2 things you can smell, and 1 thing you can taste.
- Temperature Change: Splash cold water on your face or hold an ice cube. This can shock your system and disrupt the panic cycle.
- Reassure Yourself/Remind yourself: “This is a panic attack. It is not dangerous, and it will pass.”
For more coping tools, check out our practical anxiety hacks to stop overthinking and regain control.
When to Seek Professional Help
While managing symptoms is vital, long-term healing addresses the root cause. If these attacks are impacting your quality of life, it’s time to seek support. At Healing Springs Wellness, we provide a safe, compassionate space to understand your unique experience with anxiety versus panic disorder and develop tools for lasting calm.
Professional approaches like EMDR therapy for anxiety or other evidence-based therapies can provide lasting relief.
You Don’t Have to Face This Storm Alone
Understanding the difference between a panic attack vs anxiety attack empowers you. But knowledge alone isn’t always enough. If you’re tired of white-knuckling through these episodes, we are here to help.
Our team at Healing Springs Wellness uses evidence-based approaches like Cognitive Behavioral Therapy (CBT) and Somatic Therapy to help you manage the anxiety torrent, understand your triggers, and build a resilient nervous system.
Ready to find your calm? [Schedule a confidential consultation with one of our anxiety specialists today] and take the first step toward reclaiming your peace.
FAQ: Your Questions, Answered
Q1: How do I know if I have a panic attack or anxiety attack?
Consider the onset and intensity. A panic attack is sudden, extremely intense, and peaks within minutes. An anxiety attack often has a identifiable trigger and builds more gradually.
Q2: How to calm down a panic attack?
Use grounding techniques immediately: focused breathing (4-7-8 method) and the 5-4-3-2-1 exercise are highly effective. Remember, it will pass.
Q3: How long does an anxiety attack last?
The anxiety attack duration can vary. While intense anxiety can last for hours, the peak of a panic attack is typically shorter, often subsiding within 10-30 minutes.
Q4: Are panic attacks and anxiety attacks the same thing?
Not in a clinical sense. “Anxiety attack” isn’t an official diagnosis in the DSM-5, while Panic Disorder is. However, the term “anxiety attack” is widely used to describe a severe, triggered episode of anxiety symptoms.
Q5: Why do I randomly get anxiety?
“Random” panic attacks are often linked to underlying stress, unresolved trauma, or a hypersensitive nervous system. They may feel random, but there is usually a root cause that therapy can help uncover.
Q6: Is Valium good for anxiety and panic attacks?
Medications like Valium (a benzodiazepine) can provide short-term relief but are not typically recommended for long-term management due to risks of dependence and side effects. Always consult a doctor or psychiatrist for a personalized medical opinion.
Q7: What are the symptoms for women’s heart attack?
Women’s heart attack symptoms can include chest pain or discomfort, shortness of breath, nausea, lightheadedness, and pain in the jaw, neck, or back. If you are ever in doubt about your symptoms, seek emergency medical attention immediately to rule out a cardiac event.
This article was reviewed by mental health professionals and is based on current psychological and neurological research. For specific medical advice, please consult with our qualified healthcare providers.



