Panic Attack While Driving: What to Do, Step by Step
Quick answer
If panic starts while you're driving, keep your hands on the wheel and your speed steady, breathe slowly, and get to a safe place to stop as soon as you can, such as a service area or lay-by. Don't stop somewhere unsafe or pick up your phone while moving. Once you've stopped, breathe slowly and let the attack pass.
What should you do if a panic attack starts while you're driving?
Work through these in order. The first priority is getting stopped safely, not stopping the panic.
1. Keep steady
Panic can make you want to stop the car immediately. Braking hard or stopping in a live lane is usually more dangerous than driving on steadily for another minute. Keep both hands on the wheel, hold your speed, and move into the slower lane when it's safe.
2. Slow your breathing
Breathe slowly and deeply, keeping your eyes on the road. This is the same NHS advice given for any panic attack, along with reminding yourself that the attack will pass1.
3. Find a safe place to stop
The Highway Code says that on motorways and other high-speed roads the safest place to stop is a service area. Lay-bys, emergency areas, and hard shoulders are other places of relative safety, but hard shoulders give less protection because they're so close to traffic2. On a motorway, the next exit or service area is usually the best target2.
4. Once you've stopped, let it pass
Switch the engine off and, if it's safe to do so, get out of the car for some air5. Then keep breathing slowly. Most panic attacks last between 5 and 20 minutes1, and the worst of it usually comes early. More on that in how long panic attacks last.
5. Leave your phone until you've stopped
The Highway Code is clear that it's far safer not to use a phone while driving, and to find a safe place to stop first3. That includes calming apps. Once you're parked, a guided breathing or grounding exercise, or a call to someone you trust, can help.
What can help while you're still moving?
Things that engage your senses without taking your eyes off the road. Healthline suggests keeping sour or spicy sweets, gum, or a cold drink in the car, since a cold drink or a sharp taste can help bring your attention back to the present. Familiar music, a podcast, or the radio can also give your mind something else to follow5.
Should you drive on afterwards?
Only when you feel steady. There's no need to rush back onto the road. If you don't feel ready, it's fine to wait longer, or to call someone to come and drive you. If a passenger is with you and able to drive, they can take over once you've stopped.
Do you need to tell the DVLA about panic attacks?
In the UK, you must tell the DVLA if you've been diagnosed with anxiety and it affects your ability to drive safely. If it doesn't affect your driving, you don't need to tell them, and the GOV.UK advice is to ask your doctor if you're unsure. Not telling the DVLA when you should can lead to a fine of up to £1,000, and you could be prosecuted if you're involved in an accident as a result. Car and motorcycle drivers can report online or use form M14. Outside the UK, check your own licensing authority's rules.
How can you make panic while driving less likely?
Avoiding driving can feel like the easy fix, but it can make things harder over time. Fear of situations where escape seems difficult is part of what the American Psychiatric Association describes as agoraphobia6, and motorways and traffic jams fit that pattern for many people.
The better route is treatment. NICE recommends cognitive behavioural therapy (CBT) for panic disorder7, and in England you can refer yourself directly to a talking therapies service1. In the meantime, practising slow breathing or a grounding technique like 5-4-3-2-1 when you're calm makes it easier to reach for when you need it. Knowing where the service areas are on a route you're nervous about can help too.
Frequently asked questions
Is it safe to keep driving during a panic attack?
Only as far as the next safe place to stop. Keep your speed steady and your hands on the wheel, then pull into a service area, lay-by, or other safe spot as soon as you can. Stopping suddenly in moving traffic is usually more dangerous than driving on for another minute.
What if I can't pull over straight away?
Keep driving steadily in the left lane (in the UK) and breathe slowly. On a motorway, the Highway Code advice for a vehicle problem is to leave at the next exit or pull into a service area if you can, and the same places are the safest to stop if you feel unwell.
Can I use a panic app while driving?
No. The Highway Code says it's far safer not to use a phone while driving and to find a safe place to stop first. Use any app, including Panicea, only once you've stopped.
Why do I get panic attacks on the motorway?
Motorways and heavy traffic can feel like places you can't easily get out of. Fear of situations where escape seems difficult is part of what the American Psychiatric Association describes as agoraphobia, and it often goes along with panic. A GP can help you work out what's behind it.
Do I have to tell the DVLA about panic attacks?
In the UK, you must tell the DVLA if you've been diagnosed with anxiety and it affects your ability to drive safely. If it doesn't affect your driving, you don't need to tell them. Ask your doctor if you're unsure.
Will panic attacks while driving go away?
They can be treated. NICE recommends cognitive behavioural therapy for panic disorder, and you can see a GP or, in England, refer yourself to a talking therapies service.
Sources
- NHS, Panic disorder
- GOV.UK, The Highway Code: breakdowns and incidents (rules 274 to 287)
- GOV.UK, The Highway Code: general rules, techniques and advice for all drivers and riders (103 to 158)
- GOV.UK, Anxiety and driving
- Healthline, What to Know If You Have Panic Attacks While Driving. Medically reviewed by Nicole Washington, DO, MPH
- American Psychiatric Association, What are anxiety disorders?
- NICE, Generalised anxiety disorder and panic disorder in adults: management (CG113)