General Wellness

Breathing Through Panic: Your Immediate Response Guide

Rehema Nyambura
Clinical Psychologist
December 3, 2025 5 min read 11 views

The Panic Attack Reality

Panic attacks feel terrifying but aren't dangerous. They're your body's emergency response system misfiring. Understanding this can reduce fear and build confidence in managing them.

Instant 5-Minute Breathing Sequence

When panic starts:

  1. Box Breathing (1 minute): Inhale 4, hold 4, exhale 4, pause 4

  2. Extended Exhale (2 minutes): Inhale 3, exhale 6

  3. Belly Breathing (2 minutes): Hand on stomach, feel it rise and fall

Grounding Techniques That Work

5-4-3-2-1 Method:

  • 5 things you can see

  • 4 things you can touch

  • 3 things you can hear

  • 2 things you can smell

  • 1 thing you can taste

Temperature Shift:

  • Cold water on wrists

  • Ice cube in hand

  • Cool cloth on neck

Create Your Panic Response Plan

Physical Toolkit:

  • Breathing reminder card

  • Grounding object (smooth stone, textured fabric)

  • Essential oil (lavender, peppermint)

  • Bottled water

Mental Toolkit:

  • "This is temporary" affirmation

  • List of distractions (count backwards, name colors)

  • Emergency contact reminder

Between Attacks: Prevention Strategies

Daily:

  • Regular breathing practice (5 minutes)

  • Stress journaling

  • Physical movement (walking, stretching)

Weekly:

  • Identify triggers and patterns

  • Practice relaxation techniques

  • Build support network

When to Seek Professional Help

Consult a therapist if:

  • Attacks occur weekly

  • You avoid places due to fear

  • Daily functioning is affected

  • Self-management isn't enough

Therapy options:

  • CBT (Cognitive Behavioral Therapy)

  • EMDR for trauma-related panic

  • Exposure therapy for avoidance

Key Takeaways

  1. Panic peaks in 10 minutes - It will pass

  2. Breathing controls physiology - Use it first

  3. Grounding reconnects you - To present reality

  4. Preparation reduces fear - Have a plan

  5. Professional help works - Don't hesitate

Start today: Practice box breathing for 2 minutes. Build this muscle memory so it's available when you need it most. Your breath is your most accessible tool for returning to calm.

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