A panic attack can arrive with such speed and intensity that it feels as though something serious is happening. Your heart races. Your breathing changes. You feel light-headed, hot, shaky or detached from what is around you.
The attack may end within minutes while your life remains organised around preventing another one. You notice every change in your body, plan where you could leave and avoid places where help or escape might feel difficult.
My focused Anxiety Programme is designed to change the automatic pattern behind the fear of the sensations, anticipatory anxiety and protective behaviours that keep panic important.
When the fear of another panic attack becomes the problem
The first attack may have happened on a train, in a meeting, while driving, in a restaurant or at home when nothing obvious was wrong. Because it felt sudden, your mind starts looking for an explanation and a way to prevent it happening again.
- Monitoring your breathing, heartbeat or balance
- Checking exits whenever you enter somewhere
- Choosing an aisle seat so you can leave easily
- Avoiding trains, motorways, queues, lifts or busy venues
- Carrying water or another “just in case” item
- Only going somewhere when a trusted person is with you
- Leaving when the first sensation appears
- Feeling anxious about feeling anxious
Why panic feels so convincing
Panic activates the body’s threat response. Adrenaline produces real changes in heart rate, breathing, muscle tension, temperature and attention. Those sensations can then be interpreted as evidence of danger.
A faster heartbeat becomes “something is wrong with my heart”. Light-headedness becomes “I am going to faint”. Feeling unreal becomes “I am losing control”. Your body reacts to that meaning and produces more of the sensation you were already watching.
Fear of fainting, losing control or being trapped
“What if I faint?”
Light-headedness and unsteadiness can feel similar to the moments before fainting. During a typical panic response, blood pressure usually rises rather than falls, making fainting uncommon. The fear can still make you monitor your legs, hold onto something or stay near an exit.
“What if I lose control?”
Panic can create a powerful feeling that you are about to shout, run, collapse or do something completely out of character. The feeling is not proof that you will. Continually checking whether you still feel in control keeps your attention fixed on the fear.
“What if I cannot get out?”
A place can feel dangerous because leaving would be difficult or embarrassing. The mind begins treating access to escape as the condition for safety. Relief from locating the exit teaches it to keep checking next time.
How avoidance keeps panic important
Avoidance works immediately. You cancel the journey, step out of the queue or decide not to attend. The anxiety drops, and your mind can interpret that relief as proof the situation was dangerous and leaving was necessary.
Sitting near the door, carrying a particular item, checking your pulse or asking somebody to stay on the telephone may help in the short term. They can also prevent your mind from discovering that you were capable without them.
The pattern can spread. One difficult motorway journey becomes avoiding motorways, then dual carriageways and eventually unfamiliar roads. The decision becomes less about where you want to go and more about where anxiety will allow you to go.
What changes when panic is no longer in charge?
The outcome is not that you never notice your body or experience adrenaline again. The sensations stop carrying the same threatening meaning.
- You notice your heart rate change without investigating it
- You remain in a queue without calculating how quickly you could leave
- You take the train, drive or attend a meeting without a full escape plan
- You stop checking whether you feel anxious
- You allow a sensation to rise and fall without adding a frightening prediction
- You make plans according to what you want to do
How hypnotherapy may help with panic attacks
You may already understand panic logically. You know the sensations have passed before and leaving brings only temporary relief. The response can still happen before conscious reasoning has time to intervene.
Hypnotherapy may be used to work with the learned thoughts, feelings and behaviours that maintain that automatic sequence. We look at the first sensation that captures your attention, the meaning your mind gives it, what you predict will happen next, the situations linked with danger and what you do to prevent or escape the feeling.
The work focuses on changing the response that turns a physical sensation or uncertain situation into an emergency.
A focused programme shaped around your pattern
I have worked privately with more than 1,000 clients, including people whose lives have become increasingly restricted by fear of another panic attack.
Initial consultation
We discuss what happens, the situations affected and the change you want. We identify the sequence keeping the pattern active and establish whether my approach is appropriate.
One to four focused sessions
I recommend the appropriate programme according to the nature and severity of the issue. Your programme also includes regular check-ins, recordings and maintenance support.
Read more about the Anxiety Programme, my clinical experience and the wider Anxiety Hub.
Panic attack hypnotherapy in Harley Street and online
In-person appointments are available privately in Cavendish Square, within London’s Harley Street medical district. Online appointments are available throughout the UK. View the Harley Street clinic information.
When to seek medical or urgent support
Panic symptoms can resemble symptoms of physical health conditions. This page cannot determine their cause. Seek medical advice for symptoms that are new, severe, changing or concerning. Call 999 in an emergency or contact NHS 111 when you need urgent advice and are unsure what to do.
Frequently asked questions
Can hypnotherapy help with panic attacks?
Hypnotherapy may help change the automatic fear response and protective behaviours that keep panic active. Suitability is assessed during the initial consultation.
Can a panic attack make me faint?
Fainting during a typical panic response is uncommon because blood pressure usually rises rather than falls. New or concerning symptoms should still be medically assessed.
Will I lose control during a panic attack?
The feeling of losing control is a common panic symptom, but the feeling is not evidence that you will behave uncontrollably.
Why do I fear another panic attack?
The mind may monitor for the earliest sign it could happen again, making ordinary sensations more noticeable and restarting the cycle.
How many sessions will I need?
Most programmes involve between one and four sessions. I recommend the appropriate level of support after the initial consultation.
Can I attend online?
Yes. Online appointments are available throughout the UK and follow the same focused structure as appointments in Harley Street.
Will I lose control during hypnosis?
No. You remain aware, can hear what is being said and are able to respond throughout the session. Visit the general FAQs for more information.