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Anxiety disorders
Panic disorder and anxiety attacks
A panic attack is intense fear that comes on suddenly with very strong physical symptoms. When attacks keep happening and fear of having another one appears, we call it panic disorder.
Common signs
- Palpitations and tightness in the chest
- Shortness of breath or a feeling of choking
- Dizziness, trembling or sweating
- A sense of unreality
- Fear of dying, fainting or going mad
- Avoiding places for fear of another attack
Having some of these signs doesn't mean you have the disorder: only a professional can make a diagnosis.
Why does it happen?
A combination of sensitivity to bodily sensations, catastrophic interpretation of those sensations and stress.
How is it diagnosed?
After ruling out medical causes, the psychologist assesses how often attacks happen, anticipatory fear and avoidance (agoraphobia).
Treatment
Cognitive behavioural therapy with psychoeducation and exposure to sensations and avoided situations has very good results.
Want some guidance? Take the Test for anxiety attacks and panic disorder: free, 2-3 minutes.
We're here for you at Clínica Vivaldi
Registered psychologists at Calle Chiva 25 (Valencia) and online across Spain. First appointment with no waiting list; we work with psychiatry and nutrition when needed.
Educational content based on the DSM-5-TR classification. It does not replace a professional assessment. Reviewed by the Clínica Vivaldi team, November 2026.