Panic attacks can often become a “fear of fear” cycle, where a person starts becoming scared not only of stress or triggers, but also of the physical sensations of anxiety itself (such as a racing heart, chest tightness, dizziness, or shortness of breath). When someone learns to ride the wave of fear, recognize that these somatic symptoms are uncomfortable but not dangerous, and respond with less fear toward them, the intensity often reduces and the panic can pass more quickly.

A helpful way to think about this is like a pot of water boiling over. If stress, emotions, grief, trauma, or unmet needs keep building inside without being acknowledged or processed, the “pot” can become too full and eventually boil over through anxiety, panic, irritability, or physical symptoms. Sometimes panic is not only about the immediate trigger, but also about what has been building underneath the surface.

At times, panic can also be connected to underlying emotions, stress, trauma, or experiences that someone may be pushing down or avoiding. Sometimes people may be living in ways that do not fully align with their needs, values, boundaries, or inner sense of consent/consensus, which can create internal tension and distress. Panic attacks may occur on their own or be associated with anxiety disorders and other emotional difficulties.

In treatment, we explore what may be triggering the panic, what it is associated with (e.g., stress, trauma, avoidance, health anxiety, or life patterns), and how it is being maintained. We can also help prevent panic from building by supporting clients in processing difficult emotions, understanding their nervous system responses, and living with greater inner consensus—where their choices, values, emotions, and boundaries feel more aligned. Based on this understanding, we create a treatment plan that may include psychoeducation, nervous system regulation, exposure-based work, emotional processing, or other strategies tailored to the person’s needs.

At Expressions Counselling, we take great care in assessing your current situation and causes in a welcoming and inclusive space. Together, we can create personalized plans and provide tools that are proven to regulate anxiety, lessen the likelihood of panic attacks from occurring, and overcome challenges that may hold you back from reaching your goals.