When is GP consultation recommended for panic disorder?

Panic attacks may cause sudden fear with a racing heart, shaking, sweating, chest discomfort, breathlessness, dizziness or a feeling of losing control. These sensations can overlap with physical conditions, so a GP may ask about their timing, triggers, medical history, medicines, caffeine, alcohol and sleep. Repeated attacks followed by worry or avoidance can point to panic disorder and deserve support rather than being dismissed.

Keep a brief diary of attacks, including what you felt first, how long symptoms lasted, what you were doing and what helped. Book an appointment if you are avoiding travel, work, social situations or being alone. During an episode, sit somewhere safe, loosen restrictive clothing, breathe slowly and steadily, and remind yourself that symptoms can pass. Do not use alcohol or someone else’s medicine to cope.

Call emergency services for new or severe chest pain, fainting, severe breathing difficulty, one-sided weakness, confusion or symptoms that feel different from your usual attacks. Seek immediate help if you may harm yourself or cannot stay safe. Panic can feel intense, but new physical warning signs should be assessed rather than assumed to be anxiety.

Ask whether your symptoms could have a physical cause, what treatments are available, and whether talking therapy or referral would help. Ask how to manage an attack, how to reduce avoidance, and when to seek urgent assistance.