Panic Attack

A single panic attack is not the same as panic disorder. Treat with psychological intervention.

• General support, explanation and reassurance, CBT (recommended)

• Stress management

• Rebreathe into cupped hands or a paper bag if hyperventilating

• Initial treatment of the acute attack (only if necessary, usually rarely):

  • – oxazepam 15–30 mg (o) or

  • – diazepam 5 mg (o)

Prophylaxis for recurrent attacks (panic disorder)

Consider:

• SSRI antidepressants or

• venlafaxine CR 75–225 mg