Parent’s Guide

Parent’s Guide: Panic & Anxiety Attacks

A panic attack is a sudden, intense surge of fear that triggers a physical "Red Alert" in the body. While it feels terrifying—often like the child is dying or losing control—it is physically harmless and usually passes within 20 to 30 minutes.

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⚠️Identifying a Panic Attack

Panic attacks often happen unexpectedly, though they can be triggered by stress. Look for these signs:

  • The Breathing: Hyperventilation (fast, deep, desperate breathing).
  • The Heart: Fast heart rate or pounding chest.
  • The Feeling: Dizziness, shaking, or a sensation of “doom” (feeling like they are going to die).
  • The Duration: It usually peaks and resolves within 10-20 minutes.
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🏠Immediate Home Care (How to Stop the Attack)

If your child is in the middle of an attack, your goal is to help them slow their body down.

Step 1: Calm the Breathing

Fast breathing fuels the panic. You need to reset their rhythm.

  • The Goal: Slow down to about 1 breath every 5-6 seconds.
  • The Technique: Encourage Belly Breathing. Have them put a hand on their belly button and push it out when they inhale, then let it fall when they exhale.
  • Nose Breathing: Ask them to breathe in through their nose with their mouth closed.
  • Important Warning: Do NOT have them breathe into a paper bag. This is an old myth and can actually make the attack worse.

Step 2: Create a Safe Space

  • Reassure them: “You are safe. You are healthy. This is just a false alarm in your body, and it will stop soon.”
  • Have them lie down in a quiet place.
  • Speak in a calm, low voice.

Step 3: Muscle Relaxation

  • Ask them to relax their muscles one by one, going from their head down to their toes.
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🚨 When to Get Help

Call 911 Now

  • Severe trouble breathing (struggling for each breath, cannot speak).
  • Child acts confused or does not make sense.
  • You suspect a life-threatening medical emergency.

Call 988 or Go to ER

  • Your child is very upset and cannot be calmed down after 30 minutes.
  • You are afraid they might hurt themselves.
  • They have had attacks before, but your usual care methods aren’t working.

Contact in 24hrs

  • Anxiety is keeping them from school, sleep, or hanging out with friends.
  • You want a referral to a counselor (Cognitive Behavior Therapy is very effective).
  • You suspect this is a new problem that has never been diagnosed.
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Prevention & Triggers

If these attacks happen more than once, you need a plan.

  • Find the Trigger: Keep a diary. Write down what happened just before the attack. Was it a specific social setting? A school deadline?
  • Cut Caffeine: Coffee, tea, soda, and energy drinks are stimulants that can trigger or worsen anxiety.
  • Sleep & Exercise: A well-rested body (8+ hours of sleep) and daily exercise are the best natural defenses against stress.