If you are in crisis, call or text 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room.
ICD-10: F41.0

Panic Disorder Treatment Online

Panic disorder involves recurrent, unexpected panic attacks and persistent worry about future attacks, often leading to significant behavioral changes.

Hometown NP provides psychiatric evaluation and medication management via telehealth.

Available via telehealth in 40+ states — check current appointment availability

By the Numbers

Panic disorder affects about 2.7% of US adults in any given year — approximately 6 million people.

Panic disorder often begins in late adolescence or early adulthood, typically between ages 20 and 24. It is twice as common in women as in men.

When to seek help

Seek evaluation if you have had recurrent, unexpected panic attacks followed by at least one month of persistent worry about future attacks or significant behavioral changes.

Understanding Panic Disorder

Panic disorder is defined not just by panic attacks themselves — many people experience occasional panic attacks — but by the persistent fear of having another attack and the behavioral changes that follow. This anticipatory anxiety and avoidance (agoraphobia) can profoundly restrict a person's life, making ordinary activities feel impossible.

Panic attacks involve sudden surges of intense fear or discomfort, peaking within minutes, and involving physical symptoms so alarming that people often believe they are having a heart attack or dying. Common physical symptoms include racing heart, shortness of breath, chest pain, dizziness, sweating, trembling, and a feeling of unreality (derealization).

Panic disorder responds extremely well to treatment. Cognitive Behavioral Therapy — particularly interoceptive exposure (learning to tolerate the physical sensations of anxiety) and diaphragmatic breathing — produces lasting improvement. SSRIs and SNRIs are effective first-line medications, with benzodiazepines reserved for acute crisis use. Most patients with panic disorder achieve significant improvement or full remission with proper treatment.

Common Symptoms of Panic Disorder

Sudden, unexpected panic attacks
Racing heart or palpitations
Shortness of breath or choking sensation
Chest pain or tightness
Dizziness or lightheadedness
Fear of losing control or dying
Persistent worry about future panic attacks
Avoidance of situations associated with past attacks

Seek evaluation if you have had recurrent, unexpected panic attacks followed by at least one month of persistent worry about future attacks or significant behavioral changes.

How Panic Disorder Is Diagnosed at Hometown NP

Panic disorder diagnosis requires a medical workup to rule out cardiac, thyroid, and other medical causes of panic-like symptoms. Once medical causes are excluded, your PMHNP will take a detailed panic attack history (frequency, triggers, duration, symptoms), assess for agoraphobia and avoidance behaviors, and evaluate using the Panic Disorder Severity Scale (PDSS).

Treatment Options for Panic Disorder

General evidence-based options for Panic Disorder may include the approaches below. Hometown NP PMHNPs provide psychiatric evaluation and medication management; psychotherapy, when appropriate, is provided by a separately licensed therapist. Treatment plans are individualized based on your specific symptoms, history, and goals.

1

CBT with interoceptive exposure

2

Medication Management (SSRIs/SNRIs)

3

Relaxation and breathing techniques

4

Treatment of agoraphobia (graduated exposure)

Frequently Co-Occurring Conditions

Panic Disorder often occurs alongside other mental health conditions. Our PMHNPs provide integrated care for co-occurring diagnoses.

Frequently Asked Questions About Panic Disorder

Panic disorder involves recurrent, unexpected panic attacks and persistent worry about future attacks, often leading to significant behavioral changes. Panic disorder affects about 2.7% of US adults in any given year — approximately 6 million people.

Common symptoms of Panic Disorder include: Sudden, unexpected panic attacks; Racing heart or palpitations; Shortness of breath or choking sensation; Chest pain or tightness; Dizziness or lightheadedness; Fear of losing control or dying; Persistent worry about future panic attacks; Avoidance of situations associated with past attacks. Seek evaluation if you have had recurrent, unexpected panic attacks followed by at least one month of persistent worry about future attacks or significant behavioral changes.

Panic disorder diagnosis requires a medical workup to rule out cardiac, thyroid, and other medical causes of panic-like symptoms. Once medical causes are excluded, your PMHNP will take a detailed panic attack history (frequency, triggers, duration, symptoms), assess for agoraphobia and avoidance behaviors, and evaluate using the Panic Disorder Severity Scale (PDSS).

Hometown NP's board-certified PMHNPs evaluate Panic Disorder via telehealth and focus on psychiatric diagnosis and medication management. Psychotherapy, when appropriate, is provided by a separately licensed therapist. Treatment plans are individualized to your symptoms, history, and goals.

Panic disorder often begins in late adolescence or early adulthood, typically between ages 20 and 24. It is twice as common in women as in men. Panic disorder affects about 2.7% of US adults in any given year — approximately 6 million people.

Panic Disorder Treatment by State

Hometown NP provides Panic Disorder treatment via telehealth in 40+ states. Select your state for state-specific information:

Medical Disclaimer

The information on this page is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional about your specific situation. If you are experiencing a mental health emergency, call 911 or go to your nearest emergency room.

Explore your psychiatric care options

Looking for a psychiatrist? Hometown NP provides care with psychiatric nurse practitioners. Learn about the differences and what to expect before booking.

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