Panic disorder involves repeated panic attacks and ongoing fear about having more of them. Panic attacks are sudden, intense episodes of fear that can cause strong physical symptoms such as chest tightness, dizziness, breathlessness, shaking, or a racing heart.1
At Mind Health, we support people in Parramatta and Sydney with evidence-based treatment for panic disorder. Therapy focuses on understanding what panic is, reducing fear of the symptoms, and breaking the cycle of avoidance and hypervigilance that keeps panic going.
Important: Panic symptoms are real and can feel dangerous. If symptoms are new, unexplained, or you are concerned about a medical problem, medical assessment is important. But recurring panic can also be treated effectively with psychological support.
Signs & Symptoms
Common features of panic disorder include:1
- sudden episodes of intense fear that may happen without clear warning
- racing heart, sweating, shaking, nausea, chest discomfort, or shortness of breath
- feeling dizzy, detached, unreal, or faint
- fear of losing control, going crazy, or dying during the attack
- worry about when the next attack will happen
- avoiding places, exercise, driving, crowds, or being alone because panic might happen there
- checking the body constantly for signs that another attack is starting
Causes
Panic disorder can develop through a mix of biological sensitivity, stress, and learned fear of body sensations. Contributing factors may include:1
- high stress or a period of prolonged overwhelm
- a family history of anxiety or panic
- previous panic attacks that led to fear of the symptoms returning
- trauma, illness, grief, or major life change
- stimulants, caffeine, poor sleep, or physical sensations that are interpreted as dangerous
Our Approach to Panic Disorder Treatment
At Mind Health, panic treatment focuses on changing how you understand and respond to panic symptoms. The aim is not just to calm down after attacks, but to reduce fear of the symptoms so the cycle loses momentum.
Cognitive Behavioural Therapy (CBT)
CBT is a well-established treatment for panic disorder. It helps identify catastrophic interpretations of body sensations and reduce avoidance patterns that keep panic active.
Interoceptive and Situational Exposure
Where appropriate, treatment may include gradual exercises that help you become less frightened of bodily sensations and less avoidant of places or situations linked to panic.
Acceptance and Commitment Therapy (ACT)
ACT can help reduce the struggle with anxious sensations and thoughts, and support a shift back toward valued daily activities.
Broader Anxiety Support
If health anxiety, agoraphobia, depression, trauma, or stress are also part of the picture, treatment can address those factors as well.
Tips on Managing Panic Disorder
- Learn the pattern. Panic often becomes worse when body sensations are interpreted as signs of catastrophe.
- Slow the breathing out. Long, steady exhales can help reduce escalation.
- Reduce avoidance. Avoiding places or activities can make panic feel more powerful over time.
- Watch the fuel. Caffeine, sleep deprivation, and ongoing stress can intensify physical arousal.
- Seek assessment if you are unsure. It is reasonable to rule out medical issues while also considering panic as part of the picture.
What to Expect
Your first appointment will usually focus on what the panic episodes look like, when they started, how often they happen, what you now avoid because of them, and whether health anxiety, trauma, or agoraphobia are also involved.
Sessions are typically 50 to 60 minutes. Treatment is structured and collaborative. You will not be pushed into exercises without a clear rationale and enough support. Telehealth may also be suitable depending on your needs.
Frequently Asked Questions
Can panic attacks happen without warning?
Yes. Some panic attacks seem to come out of the blue, while others are more likely in certain situations or when stress is building in the background.
How do I know if it is panic and not a medical problem?
If symptoms are new, severe, or medically concerning, get assessed by a doctor. Once medical causes are ruled out, recurring panic can be treated as panic disorder or a related anxiety problem.
Can therapy stop panic attacks completely?
Treatment often reduces the frequency and impact of panic attacks, but the deeper goal is helping you become much less afraid of the sensations so they no longer control your life.
Do I need a referral to see a psychologist for panic disorder?
You do not need a referral to book privately. If you want to access Medicare rebates, you will usually need a Mental Health Treatment Plan and referral from an eligible doctor.
What if panic is making it hard to leave home or drive?
That pattern is common in panic disorder, especially when avoidance has built over time. Treatment can help you address it gradually and safely.
Further Reading
Get Started
If you or someone you care about is struggling with panic disorder, our experienced psychologists at Mind Health in Parramatta and Sydney are here to help.
1300 084 200Book AppointmentMake a Referral
References
- Beyond Blue (2024). Panic disorder and panic attacks. beyondblue.org.au
- Healthdirect Australia (2023). Panic attacks and panic disorder. healthdirect.gov.au