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Anxiety Attacks vs. Panic Attacks: Spotting the Difference Before You Break a Sweat

Writer's picture: Victoria RomanVictoria Roman
differences between panic attacks and anxiety attacks

Your chest begins to tighten and your heart is pounding so hard that you wonder if others can hear it. The temperature in the room seems to have increased by 20 degrees in a matter of seconds, and your mind begins to race as you ask yourself, "Why can't I breathe?" No, you are not having a heart attack, and no, you will not die. Say hello to your first panic attack.


One of the most common questions I receive as a therapist is: "What is the difference between an anxiety attack and a panic attack?" So, let's break it down.


"Anxiety attack" is actually not a medical condition; there are no "criteria" or symptoms you have to meet, which means you can't be diagnosed with one. However, you may be diagnosed with an anxiety disorder. You might experience anxiety when faced with life stressors or anticipation of a stressful event, accompanied by excessive worry, distress, or fear.


Panic attacks are more straightforward; they come with diagnostic criteria. The majority (not all) of panic attacks will occur spontaneously without a trigger. On the flip side, panic attacks can be expected if someone is struggling with a phobia or external stressors (think flying, small spaces, public speaking, etc.). If you have been diagnosed with an anxiety disorder, you're at a higher risk of experiencing panic attacks. But let me be clear, having an anxiety disorder does not mean you will experience panic attacks.


What are some symptoms of a panic attack?

  • Intense fear or discomfort

  • Palpitations, pounding heart, accelerated heart rate

  • Sweating, trembling, shaking

  • Sensations of shortness of breath or smothering

  • Feelings of choking

  • Chest pain or discomfort

  • Nausea or abdominal distress

  • Dizziness

  • Chills or heat sensations

  • Numbness or tingling sensations



Regardless, experiencing anxiety or panic attacks sucks! The good news? They are both treatable! Whether you make some lifestyle changes, talk to your doctor about medication, or sprinkle in some therapy sessions, you could be on your way to managing your anxiety and panic attacks like the rockstar that you are.



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