How Long Do Panic Attacks Last? Why Some Feel Longer
Quick answer
Most panic attacks last between 5 and 20 minutes, according to the NHS, and the symptoms usually peak within about 10 minutes before easing. Some last up to an hour. When panic seems to go on for hours, it's usually several attacks coming in waves rather than one long attack. Panic attacks feel dangerous but aren't life-threatening in themselves.
How long does a typical panic attack last?
Usually between 5 and 20 minutes. That's the NHS figure, and it adds that some attacks have been reported to last up to an hour1. The US National Institute of Mental Health gives a similar range: from a few minutes to an hour, sometimes longer2.
When is a panic attack at its worst?
Early on. Symptoms build quickly and typically peak within about 10 minutes, then begin to fade3. That's why the first few minutes feel the most overwhelming. It also means the aim in those minutes isn't to stop the attack instantly, but to get through the peak until it starts to ease.
Why can a panic attack feel like it lasts much longer?
There are two common reasons.
The attacks come in waves
Several attacks can follow one another, with symptoms easing and then returning. Repeated attacks can recur for hours3, which can feel like one attack that won't end.
Fear of the symptoms keeps them going
In the cognitive model of panic, attacks are driven by reading normal body sensations as a sign of danger, such as taking a racing heart as a heart attack. That interpretation raises anxiety, which produces more sensations, which seem to confirm the danger4. The loop can keep an attack going or start another. Cognitive behavioural therapy (CBT) works directly on this pattern, and NICE recommends CBT for panic disorder5.
Can a panic attack hurt you?
Panic attacks are distressing, but the attacks themselves are not life-threatening2. Because panic symptoms can include chest pain, though, the box below covers when to get checked rather than assume it's panic.
What helps a panic attack pass?
The NHS suggests staying where you are if you can, breathing slowly and deeply, reminding yourself that the attack will pass, and focusing on calming images1. Reminding yourself that it will pass matters more than it sounds: since the sensations escalate when they're read as dangerous4, it works with the loop rather than against it.
A grounding exercise like 5-4-3-2-1 gives your attention somewhere to go, and a slow-exhale pattern such as the physiological sigh helps steady your breathing. If you'd like a tool for this, see what to look for in a panic attack app. If you're with someone else when it happens, here's how to help someone having a panic attack.
When should you see a doctor?
If panic attacks keep happening, or you've started avoiding places in case one happens, see a GP. In England you can also refer yourself directly to a talking therapies service for CBT1. Panic disorder is treatable.
Frequently asked questions
What is the longest a panic attack can last?
Most last 5 to 20 minutes, and the NHS notes some have been reported to last up to an hour. Episodes that seem to go on longer than that are usually several attacks coming in waves.
Can a panic attack last for hours?
A single attack rarely does. Repeated attacks can recur over hours, with symptoms easing and returning, which can feel like one very long attack.
When does a panic attack peak?
Usually early. Symptoms build quickly and typically peak within about 10 minutes, then start to fade.
Can a panic attack hurt you?
Panic attacks feel frightening, but the attacks themselves are not life-threatening, according to the US National Institute of Mental Health. If you have chest pain and aren't sure it's panic, get it checked by calling emergency services.
What makes a panic attack last longer?
In the cognitive model of panic, reading body sensations as a sign of danger (a racing heart as a heart attack, for example) raises anxiety, which produces more sensations. That loop can keep an attack going or set off another. Cognitive behavioural therapy works directly on it.
When should I see a doctor about panic attacks?
If they keep happening, or you've started avoiding places in case one happens, see a GP. In England you can also refer yourself to a talking therapies service for CBT.
Sources
- NHS, Panic disorder
- National Institute of Mental Health, Panic Disorder: When Fear Overwhelms
- Healthline, How Long Do Panic Attacks Last?. Medically reviewed by Timothy J. Legg, PhD, PsyD
- Clark DM, Behaviour Research and Therapy (1986), A cognitive approach to panic
- NICE, Generalised anxiety disorder and panic disorder in adults: management (CG113)