Anxiety attacks can feel overwhelming, leaving you short of breath, dizzy, or emotionally drained. Many people confuse anxiety attacks with panic attacks, but they are different experiences.
Anxiety attacks build up gradually, often triggered by excessive worry, stress, or an underlying fear. Panic attacks, on the other hand, occur suddenly, sometimes without an obvious cause, and tend to be more intense but shorter in duration.
If you’ve ever felt like your thoughts were racing, your heart was pounding, or you couldn’t catch your breath due to stress or worry, you may have experienced an anxiety attack. While these episodes can be scary, they are manageable with the right tools. Learning to recognize the early signs and practicing coping techniques can make a significant difference in how you respond.
If anxiety attacks interfere with daily life, anxiety therapy in Boca Raton provides structured support to help manage symptoms, identify triggers, and reduce the frequency of attacks. The first step in regaining control is understanding what anxiety attacks look like and how to respond effectively.

What Are the Signs of an Anxiety Attack?
Physical Symptoms of an Anxiety Attack
Anxiety attacks don’t always come out of nowhere, but they often build up gradually. Physical symptoms vary from person to person, but common sensations include:
- Shortness of breath: Many people describe feeling like they can’t get a full breath, which can worsen anxiety.
- Increased heart rate or palpitations: A racing heart can feel overwhelming, making it hard to distinguish from a heart-related issue.
- Dizziness or lightheadedness: Anxiety can create a sense of instability or feeling faint, which heightens distress.
- Muscle tension and shaking: The body responds to stress by tightening muscles, sometimes leading to trembling.
- Nausea or stomach discomfort: The gut-brain connection means that anxiety often manifests in digestive issues.
Unlike panic attacks, which peak within minutes, anxiety attacks may linger for extended periods, coming in waves throughout the day.
Mental and Emotional Symptoms
Anxiety attacks are not just physical; they bring distressing thoughts and emotions as well. Many people experience:
- A sense of impending doom or fear: It may feel like something bad is about to happen, even if there’s no real danger.
- Racing thoughts: The mind loops through negative scenarios, making focusing difficult.
- Detachment from reality: Some people feel a sense of dissociation, like they are disconnected from themselves or their surroundings.
- Persistent worry: Even after the attack subsides, anxious thoughts may linger, creating more stress.
Recognizing these early warning signs allows you to intervene before an attack escalates.
Anxiety Attack vs. Panic Attack
Many people use the terms interchangeably, but anxiety attacks and panic attacks are different experiences. Understanding the distinction can help in choosing the right coping strategies.
What Triggers Each Attack?
Anxiety attacks are usually triggered by an identifiable stressor, such as:
- Work pressure or overwhelming responsibilities
- Financial concerns
- Relationship conflicts
- Social situations or fear of judgment
- Health-related fears
Panic attacks, however, can appear suddenly and without a clear trigger. They may happen even when a person is calm or asleep, creating an intense and immediate fear response.
How Long Do They Last?
Panic attacks peak within 5-10 minutes and include severe symptoms such as chest pain, choking sensations, and a feeling of losing control or going crazy. Anxiety attacks, in contrast, build gradually and can last much longer, sometimes persisting for hours or even days in lower-intensity waves.
How They Feel Emotionally
Panic attacks create a feeling of extreme fear, often making people believe they are having a heart attack or dying. Anxiety attacks, while distressing, tend to be more focused on excessive worry rather than an immediate sense of doom.
How to Calm Yourself During an Anxiety Attack
1. Use Deep Breathing to Slow Your Nervous System
One of the fastest ways to calm an anxiety attack is to slow your breathing. Anxiety triggers the body’s fight-or-flight response, increasing heart rate and rapid breathing. Deep belly breathing helps activate the parasympathetic nervous system, which promotes relaxation.
Try the 4-4-6 breathing technique:
- Inhale through your nose for four seconds.
- Hold your breath for four seconds.
- Exhale slowly through your mouth for six seconds.
Repeating this pattern for a few minutes helps lower heart rate, reduce tension, and restore a sense of control.
2. Try Grounding Techniques to Stay Present
Grounding techniques help shift focus away from anxious thoughts and bring attention back to the present moment. The 5-4-3-2-1 method is a simple but powerful way to ground yourself:
- Identify five things you can see around you.
- Notice four things you can touch.
- Listen for three sounds nearby.
- Recognize two scents in the air.
- Focus on one thing you can taste.
This exercise engages the senses, breaking the cycle of anxious rumination.
3. Engage in Physical Movement to Release Tension
Anxiety triggers the body’s stress response, which includes muscle tension. Engaging in light physical activity can help release built-up energy. Taking a short walk, stretching, or even shaking your hands reduces muscle tightness and improves circulation.
If movement isn’t possible, progressive muscle relaxation (tensing and releasing muscle groups) can be done while sitting or lying down.
CBT Techniques to Reduce Anxiety Attacks
1. Identify and Challenge Negative Thought Patterns
Cognitive Behavioral Therapy (CBT) focuses on recognizing and restructuring negative thoughts. Many anxiety attacks stem from catastrophic thinking, where the brain jumps to the worst-case scenario.
Ask yourself:
- What evidence do I have that this thought is true?
- What is a more balanced way to view this situation?
- What would I tell a friend in the same situation?
Reframing negative thoughts weakens their emotional impact and helps prevent future attacks.
2. Gradual Exposure to Anxiety Triggers
Avoiding anxiety triggers reinforces fear. Exposure therapy, a CBT technique, introduces feared situations gradually and in a controlled way. If social anxiety triggers attacks, starting with low-pressure interactions (ordering food, saying hello to a neighbor) and working up to larger social events builds confidence over time.
3. Journaling to Track Anxiety Patterns
Keeping a thought journal helps identify recurring triggers. Writing down anxious thoughts allows for self-reflection and pattern recognition. Over time, this practice strengthens resilience and helps develop healthier responses to anxiety.
When to Seek Professional Help
Occasional anxiety attacks are common, especially during stressful times. However, frequent attacks that disrupt daily life may require professional support. Anxiety therapy provides evidence-based techniques, helping clients gain control over their anxiety.
Therapy offers a safe space to identify root causes, develop coping strategies, and create long-term solutions for managing anxiety. Seeking help isn’t a sign of weakness—it’s a step toward lasting relief.

Are You Considering Anxiety Therapy in Boca Raton?
If anxiety attacks are interfering with your life, professional support can help. RM Counseling offers personalized anxiety therapy, using CBT, mindfulness, and trauma-informed techniques to help you regain stability and confidence. Contact us today for a free 15-minute consultation.