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Panic Disorder

You’re waiting in line at the bank. You’re running late, you have a million other errands to run and the child at the back of the line won’t stop screaming. Suddenly you start feeling strange. Your heart starts racing. You start to feel dizzy, nauseous and sweaty. After a minute, it feels so bad that you get the overwhelming feeling you’re going to die. It’s hard to breathe and your hands and feet start to tingle. You are absolutely terrified. Within a few minutes, the terror slowly starts to subside. Your heart rate and breathing start to return to normal. This is what a panic attack feels like.

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You start to experience panic attacks more often, often usually out of nowhere. Now you’re always scared about having another one. You think that this might be a sign that you’re having a heart attack or stroke, even though the doctor has ruled those out. You might start avoiding the places or situations where you’ve had attacks before. Or maybe you are scared to be in public because you’re embarrassed that people might see you have an attack. This is what panic disorder feels like.

What is it?

Panic disorder is a type of anxiety disorder that causes repeated, unexpected attacks of intense fear, along with fear of having more attacks. If you have panic disorder, you are probably also scared that bad things will happen to you because of the attacks. While up to a third of adults may have a panic attack in any given year, only 1–2% of Canadians in that same year would experience panic disorder. About 4% of Canadians will experience panic disorder in their lifetime.


Who does it affect?

While panic disorder can affect anyone, there are certain groups of people that it affects more often than others.


Could I have panic disorder?

Recognizing a panic attack

Panic disorder involves repeated panic attacks, so it’s important to know what a panic attack feels like. Here is a list of signs that you’re having a panic attack:

If the first symptom plus several of the others come on suddenly, you may be experiencing a panic attack. Panic attacks usually peak within a few seconds or a few minutes, although it can take some time for all the symptoms to settle. Panic attacks can happen at any time and while they are sometimes triggered by a stressful life event, they can often appear to be triggered by nothing at all.

It’s important to know that having a panic attack doesn’t mean you have panic disorder. A third of adults will experience a panic attack in their lifetime and most of them will not develop panic disorder or need help. You might have a panic attack when you are feeling stressed about a life event, but on its own, this doesn’t mean you have panic disorder. Panic attacks can also be a symptom of other anxiety disorders, like phobias or post-traumatic stress disorder. For example, someone with post-traumatic stress disorder might have a panic attack when they revisit the place where the trauma happened. In this case the person is afraid of their trauma and not of the panic attack itself, so this would not be a sign of panic disorder.

Recognizing panic disorder

Here’s a list of signs that your panic attacks might mean something more, like a panic disorder:

If one or more of these sound like you, it’s important to talk to your doctor. You may also want to try our online anxiety self-tests,* which you can print out and take to your doctor. See

*available in English, French and Traditional Chinese


Panic Disorder with Agoraphobia

Up to 50% of people with panic disorder also experience agoraphobia. Agoraphobia is an extreme fear of being in situations or places that would be difficult to escape from if you have a panic attack. For example, you might be scared of being in crowded places because it would be hard to find help if you have an attack. In rare cases, these fears can cause some people stay in their homes for long periods of time. Some people may experience agoraphobia without panic disorder.

What can I do about it?

There are a few different things you can do that have been shown by research to help the most:

Although there are many other alternative therapies for anxiety, there is less evidence that they actually work. Some people find that herbal remedies help reduce their body’s response to anxiety. Remember that even herbal remedies can have side-effects and may interfere with other medications. Dosages can also vary depending on the brand you use. Talk about the risks and benefits of herbal or other alternative treatments with your health care providerand make sure they know all the different treatments you’re trying.


Where do I go from here?

The best first step is always to talk to your doctor. They can help you decide which, if any, of the above treatments would be best for you.

Other helpful resources are:


Visit or call 604-525-7566 for community resources and lots of helpful information about panic disorder and other anxiety disorders, including strategies to try at home.

Canadian Mental Health Association, BC Division

Visit or call 1-800-555-8222 (toll-free in BC) or 604-688-3234 (in Greater Vancouver) for information and community resources.

BC Partners for Mental Health and Addictions Information

Visit for info sheets and personal stories about (illness). You’ll also find more information, tips and self-tests to help you understand many different mental health problems

Resources available in many languages:

*For the service below, if English is not your first language, say the name of your preferred language in English to be connected to an interpreter. More than 100 languages are available.

HealthLink BC

Call 811 or visit to access free, non-emergency health information for anyone in your family, including mental health information. Through 811, you can also speak to a registered nurse about symptoms you’re worried about, or talk with a pharmacist about medication questions.

Crisis lines aren’t only for people in crisis. You can call for information on local services or if you just need someone to talk to. If you are in distress, call 310-6789 (do not add 604, 778 or 250 before the number) 24 hours a day to connect to a BC crisis line, without a wait or busy signal. The crisis lines linked in through 310-6789 have received advanced training in mental health issues and services by members of the BC Partners for Mental Health and Addictions Information.

© 2013

This info sheet was prepared by CMHA BC Division on behalf of the BC Partners for Mental Health and Addictions Information and HeretoHelp. Funding was provided by BC Mental Health and Substance Use Services, an agency of the Provincial Health Services Authority. For more resources visit

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