Mind Health Check
Anxiety

Panic attacks, understood.

A panic attack is a sudden rush of fear that can feel like a heart attack or losing control. It is frightening but not harmful, and psychology can help you respond differently.

What it can feel like

A false alarm, at full volume.

Panic is the body's alarm system going off when there is no danger. Common signs include:

Racing heart and breath

A pounding heart, a tight chest, shortness of breath or a feeling of choking.

Dizziness and tingling

Feeling light-headed, shaky, hot or cold, or tingling in the hands and face.

Fear of what is happening

A sense that something terrible is about to happen, of losing control, or of things feeling unreal.

Avoiding places

Staying away from places where an attack happened before, or where help feels far away.

The panic cycleEach step feeds the next. Therapy works on breaking the loop at more than one point.
  1. A body sensationA racing heart, dizziness or a tight chest.
  2. A frightening thought"Something is wrong. I am losing control."
  3. Fear risesAdrenaline makes the sensations stronger.
  4. Escape or avoidRelief now, and more fear of the next attack.
How we help

Breaking the cycle.

  • Learning how panic works, and why the body reacts the way it does
  • Noticing the thoughts that turn a body sensation into alarm, and testing them
  • Gradually facing sensations and places you have been avoiding, at a pace you agree
  • Breathing and grounding skills for the moment itself

Cognitive behaviour therapy (CBT) for panic is the approach our clinicians most often use. See CBT and anxiety.

What a session looks like

How it usually runs.

Sessions are 50 minutes, in Parramatta or by telehealth.

  1. 1

    Understanding your panic

    Your psychologist asks when attacks happen and what you do to cope, then explains the panic cycle.

    Early sessions
  2. 2

    Trying things differently

    Step by step, you practise staying with sensations and situations without the usual escape.

    The sessions that follow
  3. 3

    Practice between sessions

    Short exercises to try at home, which you go through together at the next session.

    Ongoing
The waiting lounge in daylight, with pale chairs, sage panelling and round timber tables.
Before you book

Fees and other options.

With a Mental Health Treatment Plan from your GP, Medicare pays a rebate for each individual session and there is usually a gap. Our fees are set out before you book.

Free tools

Check in with yourself.

Free, private tools to try before or alongside sessions. They are not a diagnosis.

Free · 5 to 10 min

Take the Mind Health Check

Short questionnaires, scored privately in your browser. We have ticked the ones most related to this page, and you can change them.

Start the check

Or take the GAD-7 (anxiety) on its own

Fact sheet: Managing panic

A plain-language guide with practical steps. Free to download.

Download the PDF

Try this week

  • Practise slow breathing for two minutes a day while you are calm, so it is familiar when you need it.
  • When panic rises, name it: "This is a panic attack. It will pass."
  • Notice one place you have started avoiding, and write it down for your next session.

Need help now? Our urgent help page has who to call, day and night.

Common questions

Before you book, answered.

What is a panic attack?
A sudden surge of intense fear that peaks within minutes. It comes with strong body sensations, such as a racing heart, shortness of breath, dizziness, sweating or shaking, and often a sense of dread or losing control.
What is panic disorder?
Panic disorder is when panic attacks keep happening out of the blue, and worry about the next attack, or avoiding places where one might happen, starts to shape your life.
Can a panic attack hurt me?
A panic attack feels frightening, but the attack itself is not harmful. The sensations come from the body's alarm system and pass with time. If you have new chest pain or have not had your symptoms checked, see a doctor.
Should I see a doctor first?
It is a good idea to see your GP if you have not already, to check for physical causes of symptoms such as chest pain. If you ever think you may be having a heart attack, call 000.
When should I seek help?
When panic gets in the way of work, study, relationships or sleep, or when you start avoiding things because of it. You do not need to wait until it is severe. If you are in crisis, see our urgent help page.
How long does treatment take?
It varies from person to person. CBT for panic often runs over about 8 to 12 sessions, and you review how things are going together along the way.
Do I need a referral?
No. You can book privately at any time. A Mental Health Treatment Plan from your GP is only needed for the Medicare rebate.
Can I have sessions by telehealth?
Yes, by secure video from home. See telehealth.
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Anxiety support

Take the first step, at your pace.

Tell us a little about what is going on. We will suggest a clinician and a time.

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