Panic Disorder Treatment

Panic disorder is a type of anxiety disorder marked by recurrent, unexpected panic attacks. These episodes of intense fear can be overwhelming and are often accompanied by uncomfortable physical symptoms. While panic disorder can significantly impact daily life, effective treatments are available.

Understanding Panic Disorder

Panic disorder differs from general anxiety as the symptoms of panic disorder do not last as long but are more intense. People with panic disorder will usually have a difficult time identifying triggers that lead to panic attacks. 

The symptoms of general anxiety last for a longer period but are less intense than those caused by panic disorder. It is important to note that not everyone who experiences a panic attack has or will develop panic disorder.

Common symptoms of panic disorder include:

  • Heart palpitations
  • Sweating and trembling
  • Shortness of breath
  • Chest pain
  • Dizziness
  • A sense of impending doom
  • Avoiding certain situations, fearing that they will lead to a panic attack

The causes of panic disorder are not fully understood. Some risk factors for panic disorder have been identified though, including: 

  • Family history and genetics. 
  • Stressful life events. 
  • Changes in brain function. These changes can be compared to an alarm that starts sounding even when no threat is detected.

Diagnostic Criteria 

Panic disorder is diagnosed through a comprehensive assessment from a mental health professional. This assessment will likely involve:

  • Discussing symptoms
  • Taking a full medical history
  • Ruling out physical causes by taking blood work 

Seeking professional help for this condition can make major differences in a person’s quality of life. The earlier a patient receives care, the faster they can alleviate these negative symptoms and move forward.

Effective Treatment Options for Panic Disorder

There are many treatment options for managing panic attacks and panic disorder. For many, a combination of therapies and lifestyle changes will lead to the best results. Some treatment options include:

  • Cognitive Behavioral Therapy (CBT) and psychotherapy for panic disorder.
    • CBT is considered the gold standard for panic disorder treatment. It helps individuals identify and change negative thoughts that contribute to panic attacks.
    • Exposure therapy, mindfulness, and acceptance strategies can also build resilience and reduce fear responses.
  • Some may find that including medication in their treatment plan is helpful. When considering any medication, speak with your doctor about potential risks. Medications that may be prescribed include:
  • Anti-anxiety medications which can provide short-term relief, but are generally not recommended long-term.
  • Antidepressant medications are also commonly prescribed for panic disorder. They can help regulate brain chemistry and reduce the frequency of panic attacks.
  • Some people may also turn to lifestyle changes and relaxation techniques to manage panic attacks. These commonly include:
  • Regular physical activity: Exercise can improve mood and decrease anxiety levels.
  • Avoidance of stimulants: Reducing caffeine, nicotine, and alcohol can reduce triggers.
  • Relaxation techniques: Deep breathing, muscle relaxation, and meditation can reduce stress. 

Potential Complications of Panic Disorder if Left Untreated

Without proper treatment, panic disorder can contribute to other mental health conditions. It can also have negative impacts on the lives of those with the disorder and the people closest to them. Potential complications include:

  • Developing agoraphobia. Agoraphobia is the fear of open spaces. People with this condition may struggle to leave the house on their own or fear being in crowded areas. The two conditions often co-occur as fear of leaving the home creates added feelings of stress.
  • Hindering relationships. Panic disorder can hinder all aspects of a person’s life if not managed. The condition can keep a person from participating in events and experiences which can lead to isolation. 

Seeking Help

Seek help if you or a loved one is experiencing panic attacks. Health care professionals can provide guidance on diagnosing this condition and outline next steps. For many, speaking to a family doctor about their concerns is a key first step in finding care. 

In addition to health care providers, support groups and online resources can offer encouragement from others facing similar challenges. Loved ones and family members may also benefit from support groups tailored to their needs. 

While panic disorder can be debilitating, effective treatments are available. Seeking help is the first step toward healing. There are several treatment options available for panic disorder. With the help of a trusted provider, those with this condition can find the balance of therapy, medications, and lifestyle changes that work best for them.

-Our Research Team-
Timothy D. Brewerton, MD, DLFAPA, FAED, DFAACAP, CEDS-S
Professor Emeritus of Psychiatry and Behavioral Sciences
Dr. Christopher Womack
Medical Director, Child and Adolescent Psychiatry

Dr. Christopher Womack joins SunCloud as our Medical Director, Child and Adolescent Psychiatry.

Dr. Womack is board certified in Adult as well as Child and Adolescent Psychiatry, attending the University of Chicago Pritzker School of Medicine. Adult psychiatry residency and child fellowship training were completed at the University of Chicago Medical Center.

Dr. Womack’s treatment  philosophy hinges on strength based, evidence informed care, where collaboration is central to guiding individualized treatment.  He has experience caring for children and teens from varied backgrounds, appreciating the importance of how identity can inform treatment.

Favorite pastimes are cooking new recipes and exploring Chicago’s rich cultural diversity through its neighborhood and fine dining experiences.

Elizabeth E. Sita, MD
Medical Director of Adult Services

Dr. Elizabeth E. Sita, MD, is a Board Certified psychiatrist specializing in the care of patients with eating disorders. She completed her undergraduate training at the University of Chicago and graduated with Highest Honors. She then earned her medical degree at Northwestern University Feinberg School of Medicine and was recognized with the Chairman’s Award for Excellence in Psychiatry. She subsequently completed residency with the Department of Psychiatry and Behavioral Sciences at McGaw Medical Center of Northwestern University, where she was elected Chief Resident and received the Resident Psychiatrist Leadership & Service Award.

Upon completing her training, Dr. Sita joined the staff atAscension Alexian Brothers Behavioral Health Hospital Hospital, where she served as Assistant Medical Director of the Center for Eating Disorders and Director of Transcranial Magnetic Stimulation Services before transitioning to lead the new inpatient eating disorder unit as Medical Director of Eating Disorder Services at Ascension Saint Joseph Hospital – Chicago. In these roles, she has cared for a multitude of adolescents and adults struggling with anorexia nervosa, bulimia nervosa, binge eating disorder, and other eating disorders as well as severe, cooccurring mood, trauma, personality, and substance use disorders.

Dr. Sita has been recognized throughout her training and practice for a commitment to excellence in patient care and for her ability to engage patients in their most challenging moments. Her passions include the care of treatment-resistant eating and mood disorders as well as questions of medical capacity and end-of-life decision making.

She believes that, first and foremost, human connection is key to mental health and well-being and strives to share this philosophy in each and every patient encounter. She is excited to bring her expertise to SunCloud Health as the Medical Director of Adult Services!

 

VIDEO: Meet Elizabeth E. Sita, MD, Medical Director of Adult Services

 

Lacey Lemke, PsyD
Assistant Vice President of Clinical Services

Dr. Lacey Lemke (she/her) is a licensed clinical health psychologist with specialized expertise in the treatment of eating disorders and the practice of medical and health psychology. She completed her doctoral training in clinical psychology with a Primary Care emphasis at the Adler School of Professional Psychology. Dr. Lemke went on to complete both her predoctoral clinical internship and postdoctoral fellowship through Ascension Health, where she gained advanced training working with individuals experiencing eating disorders and self-injurious behaviors, as well as within pediatric subspecialty settings including endocrinology, neurology, and adolescent medicine.

Dr. Lemke is deeply committed to providing evidence-based, compassionate care and collaborates closely with interdisciplinary teams to ensure comprehensive treatment. Her professional mission is to support patients in achieving their fullest potential by guiding them to the most appropriate level of care and empowering them to make meaningful, sustainable progress toward improved health and well-being.

VIDEO: 2. Meet Lacey Lemke, PsyD.