ANXIETY

How to Manage Panic Attacks at Work

A panic attack at work can feel sudden and overwhelming — a racing heart, shortness of breath, a wave of fear that seems to come from nowhere. If this has happened to you, you are far from alone, and it does not mean anything is wrong with you. Panic attacks are your body’s alarm system firing when there’s no real danger, and they can be managed.

What a Panic Attack Can Feel Like

Symptoms vary from person to person, but often include a pounding heartbeat, tight chest, dizziness, sweating, trembling, a sense of unreality, or a fear of losing control. Episodes usually peak within a few minutes and then ease — even though, in the moment, they can feel much longer.

In the Moment: Grounding at Your Desk

  • Slow your breathing. Breathe in for a count of four, hold for four, and exhale slowly for six. A longer exhale signals your nervous system that it’s safe to settle.
  • Use the 5-4-3-2-1 senses. Name five things you can see, four you can touch, three you can hear, two you can smell, and one you can taste. This anchors you in the present.
  • Feel your feet on the floor. Press them down, notice the chair supporting you, and hold a cool glass of water. Physical sensations interrupt the spiral.
  • Step away if you can. A short walk, the restroom, or a few minutes outside gives the wave time to pass without added pressure.
  • Remind yourself it will pass. Quietly tell yourself, “This is uncomfortable, but it is not dangerous, and it will ease.”

Planning Ahead for the Next Wave

Between episodes, it helps to notice your patterns. Keep a simple log of when panic tends to strike — before meetings, after difficult emails, late in the day — so you can prepare. Build a small “toolkit” you can reach for: a calming playlist, a water bottle, a reminder note, a breathing app. Telling one trusted colleague or manager can also relieve the pressure of hiding it.

When to Reach Out for Support

If panic attacks are frequent, if you find yourself avoiding work or situations because of them, or if the fear of the next one is shaping your days, working with a therapist can make a real difference. Approaches like cognitive behavioral therapy give you practical, lasting tools — and a plan that fits your life.

You don't have to manage this on your own.

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