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Anxiety attack vs panic attack: what is the difference?

ALIVIA Team · Updated October 8, 2026

People often use "anxiety attack" and "panic attack" as if they were the same, but they are not quite. "Panic attack" is a recognised medical term; "anxiety attack" is a popular phrase for a surge of intense anxiety. This guide is informational and cannot diagnose anything.

Panic attack

• Comes on suddenly, often with no clear trigger, and peaks within minutes.

• Pounding heart, shortness of breath, dizziness, trembling, tingling, a sense of unreality.

• A strong fear of losing control, fainting or dying.

Anxiety attack (anxiety surge)

• Usually builds gradually around a worry or stressful situation.

• Tension, restlessness, racing thoughts, a fast heartbeat.

• Can last longer than a panic attack but is often less sudden.

What to do in the moment

1. Remind yourself it will pass; these peaks do not last.

2. Slow your breathing: in for 4, out for 6 to 8.

3. Ground yourself: name 5 things you can see.

4. Sit down, loosen tight clothes and sip water.

Chest pain: check it out

Panic and anxiety can cause chest tightness, but chest pain can also have medical causes. If the pain is strong, spreads to your arm or jaw, or you are unsure, seek emergency care. Never assume it is anxiety.

When to talk to a professional

If attacks repeat, you start avoiding places or situations, or you worry constantly about the next one, a professional can help. If you feel you can't go on or you are thinking about harming yourself, don't wait: contact your local emergency number right away, go to the nearest emergency room, or find a helpline for your country at findahelpline.com.

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