Panic Attacks vs. Anxiety Attacks: What’s the Difference?

Person shaking head during sudden panic attack experiencing shortness of breath and rapid heartbeat

The terms panic attack and anxiety attack are often used interchangeably, but they’re not the same thing. While both can feel overwhelming, the differences between panic attacks vs. anxiety attacks matter—especially when it comes to understanding your mental health and getting the right support.

In this article, we’ll break down what makes panic attacks and anxiety attacks different, explore symptoms and causes, and share strategies for coping and treatment.

What Is a Panic Attack?

A panic attack is a sudden surge of intense fear or discomfort that peaks within minutes. They often occur without warning and can feel terrifying, sometimes mistaken for a heart attack.

Common Panic Attack Symptoms:

  • Rapid heartbeat or chest pain

  • Sweating or chills

  • Shortness of breath

  • Feeling of choking or dizziness

  • Trembling or shaking

  • Fear of losing control or dying

Panic attacks are recognized in the DSM-5 (the diagnostic manual used by mental health professionals) and can occur as part of Panic Disorder or other anxiety-related conditions.

Hand outstretched in water to depict feeling overwhelmed by anxious thoughts.

What Is an Anxiety Attack?

Unlike panic attacks, an anxiety attack isn’t an official clinical diagnosis. It’s a term people often use to describe a period of heightened anxiety. These episodes typically build gradually in response to stress or a triggering situation.

Common Anxiety Attack Symptoms:

  • Restlessness or feeling on edge

  • Racing thoughts or excessive worry

  • Muscle tension

  • Difficulty concentrating

  • Irritability

  • Trouble sleeping

Anxiety attacks are less intense than panic attacks but can last much longer—sometimes hours or even days.

dog in blanket to depict feeling stuck and depressed from anxious thoughts

Causes and Triggers

Panic Attacks

  • Genetics and family history

  • Major life stressors or trauma

  • Substance use (caffeine, drugs, alcohol)

  • Medical conditions like thyroid issues

Anxiety Attacks

  • Ongoing stress (work, finances, relationships)

  • Unresolved worries

  • Anticipation of future events

  • Chronic medical conditions

Coping Strategies and Treatment Options

For Panic Attacks:

  • Grounding techniques (focusing on your senses)

  • Breathing exercises to slow heart rate

  • Therapy, such as Cognitive Behavioral Therapy (CBT) or Exposure Therapy

  • Medication (SSRIs, anti-anxiety medications) when appropriate

For Anxiety Attacks:

  • Stress management (journaling, meditation, exercise)

  • Lifestyle changes (reducing caffeine, improving sleep hygiene)

  • Therapy (CBT, Acceptance and Commitment Therapy)

  • Support systems (talking with friends, support groups)

When to Seek Professional Help

two chairs to depict a therapy office to manage anxiety

If you’re experiencing frequent panic attacks or ongoing anxiety that interferes with daily life, it may be time to reach out for help. A licensed therapist can provide personalized treatment strategies and help you understand whether you’re dealing with panic disorder, generalized anxiety disorder, or another condition.

Final Thoughts

Both panic attacks and anxiety attacks can be overwhelming, but understanding their differences is the first step toward healing. Panic attacks are sudden and intense, while anxiety attacks build gradually and are tied to ongoing stress. Recognizing what you’re experiencing can guide you toward the right coping strategies and professional support.

If you’re struggling, remember—you don’t have to go through this alone. With the right tools and support, relief is possible.

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