What is the duration of a panic attack?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: March 15, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Guidelines

Panic attacks typically last between 5 to 20 minutes, with symptoms usually peaking within 10 minutes. When diagnosing a panic attack, a general practitioner should look for other symptoms, such as trembling, dizziness, de-realization, paresthesias and chills or hot flushes 1. The duration of a panic attack can vary, but it usually builds to a peak and then subsides. Some key points to consider when dealing with panic attacks include:

  • The sudden onset of symptoms
  • The presence of other symptoms like trembling and dizziness
  • The use of focused breathing techniques to manage symptoms
  • The importance of grounding techniques to reduce panic symptoms
  • The fact that panic attacks are not dangerous and will subside on their own
  • The availability of treatments like cognitive behavioral therapy and medications for recurrent panic attacks. In terms of management, a general practitioner can play a crucial role in diagnosing and treating panic attacks, and referral to a specialist may be necessary in some cases 1.

From the FDA Drug Label

Panic disorder (DSM-IV) is characterized by recurrent unexpected panic attacks, i.e., a discrete period of intense fear or discomfort in which four (or more) of the following symptoms develop abruptly and reach a peak within 10 minutes

The duration of a panic attack is a discrete period where symptoms reach a peak within 10 minutes 2.

  • The attack is characterized by intense fear or discomfort.
  • Symptoms develop abruptly and peak within 10 minutes.

From the Research

Duration of a Panic Attack

  • The duration of a panic attack usually lasts minutes, but sometimes longer 3
  • A panic attack is a discrete period of fear or anxiety that has a rapid onset and reaches a peak within 10 minutes 4, 5
  • Panic disorder is characterised by recurrent unexpected panic attacks consisting of a wave of intense fear that reaches a peak within a few minutes 6

Characteristics of a Panic Attack

  • Symptoms of panic attack can be found in both medical disease and mental disorder 3
  • At least 4 of 13 diagnostic symptoms need to be present to constitute an attack which onset is sudden and unpredictable 3
  • The main symptoms involve bodily systems, such as racing heart, chest pain, sweating, shaking, dizziness, flushing, churning stomach, faintness and breathlessness 4, 5
  • Other recognised panic attack symptoms involve fearful cognitions, such as the fear of collapse, going mad or dying, and derealisation (the sensation that the world is unreal) 5

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Management of panic disorder.

Singapore medical journal, 1995

Research

Antidepressants and benzodiazepines for panic disorder in adults.

The Cochrane database of systematic reviews, 2016

Research

Pharmacological treatments in panic disorder in adults: a network meta-analysis.

The Cochrane database of systematic reviews, 2023

Research

Benzodiazepines versus placebo for panic disorder in adults.

The Cochrane database of systematic reviews, 2019

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.