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What to Do During an Anxiety Attack? Real Answers From Experts

Forget magic clichés. Dive into the real physiological shock of what causes — and ends — the biological storm of pure adrenaline.

9 minPublished on January 5, 2025
What to Do During an Anxiety Attack? Real Answers From Experts

When a crisis crushes your entire central system, it's very common to think "I'm going to have a heart attack right here," or "Am I going crazy, losing all control?" No — your ancient, instinctive activation system just failed to tell the difference between an illusory danger (losing your job) and a fierce predator hunting you (a starving cave bear).

This clinical guide dives deep into what actually explains what to do during an anxiety attack, without the shallow, irritating advice.

Resistance Feeds Severe Panic

The central rule of long-term psychological and clinical work is this: the more you fight the attack, desperately wanting it to end immediately by sheer force, the more your bloodstream floods with extra biological fear — and the longer it lasts. The brain only reads visceral emotional resistance as absolute proof that we're still in imminent danger on the biological savanna, and doubles down on your palpitations.

The mantra against the wave? "I am a floating observer. Let it fire — eventually the body will run out of chemicals and the system will exhaust itself, because biologically we cannot keep pumping that much adrenaline into the blood forever, into a void." Full physical surrender breaks the persistence of the event.

Deep, Active Vagal Control Mechanisms

Most people reach for emergency benzodiazepines because the nerves lock up their jaw and their arm goes numb with the agony. But your own body produces massive, highly sedating compounds through long, systematic guided exercises involving intense, forced muscle tension followed by instant deep relaxation, paired with a long exhale technique — inhaling more, releasing less.

If even alone, in desperation, everything seems to fail while the physical pain is happening — it's essential to hold on to a fixed, centering anchor and immediate external presence. In today's home environment, apps aren't just for meditating anymore. They use the cold logic of therapy, pulling you with simple, continuous questions that pull your irrational reactive cortex away and fill it with procedural logic instead.

Written by Dra. Camila SoutoPsicóloga Clínica e Neuropsicóloga (CRP 06/145290)

Reviewed by Dr. Lucas CoutlierMédico Psiquiatra (CRM/SP 189254)

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