A panic attack is a sudden wave of fear that peaks within minutes. A racing heart and short breath often come with it. Panic disorder means these attacks return without a clear trigger. Worry about the next one can then shape daily life. One attack does not always mean panic disorder. If you have chest pain, get it checked by a doctor or the ER first. Dr. Ijeoma Mbionwu, DNP, PMHNP-BC, listens before any plan is discussed.
Fear can surge within minutes, even when no clear danger is in front of you.
Your heart may pound or race. That physical rush can make the fear feel more real.
Breathing may feel tight or too fast. Some people feel as if they cannot get enough air.
The room may feel unsteady. You might worry you will faint, even if you stay upright.
Hands may shake. A sudden sweat or chill can arrive in the same few minutes.
During an attack, it can feel as if you are losing control or cannot stay in the moment.
You may avoid meetings, class, or driving if an attack happened in that place before.
Plans with people you trust can still feel risky when you fear another attack.
Some attacks happen during sleep. Waiting for the next one can leave the night broken.
Stores, exercise, or crowded places may get skipped in an effort to stay safe.
No single cause explains panic disorder. It can run in families, though not everyone is affected. Stress, trauma, and a long stretch of uncertainty may play a part. Caffeine, some medicines, and substance use can also change how intense an attack feels. A panic attack can happen with other anxiety disorders, not only this one. Heart and thyroid conditions can mimic these symptoms. That is why a careful history matters before any name is given.
Panic care looks at the whole person: sleep, stress, relationships, physical health, other conditions, and goals. Your plan is personalized and evidence-based, from a board-certified PMHNP, in Orlando or by telehealth across Florida.
A full visit covers attacks, history, health, sleep, and what you have started to avoid.
Medicine may be discussed when it fits. Side effects and how you feel are reviewed over time.
Talking through fear and avoidance may support care alongside other parts of your plan.
Later visits leave room for new attacks, questions, and changes in what you feel able to do.
The visit starts with your full story: attacks, sleep, health, medicines, and what you avoid.
From there, you and your provider discuss options that fit your needs and daily responsibilities.
Follow-up visits leave room for questions, side effects, and changes in how the week is going.
Sudden fear is worth a careful look. Schedule Your Appointment or Call 407-616-1691. Visits are available in Orlando or by telehealth across Florida. If you are in crisis, call or text 988 or call 911.
Getting started with StarMaris is simple. Please complete the forms below before your first appointment to help us provide timely, personalized psychiatric care. Referring providers can submit patient referrals securely online. For questions, call us at 407-616-1691.