Managing Panic Attacks with Dialectical Behavior Therapy Skills

Panic attacks are sudden episodes of intense fear or discomfort that may include symptoms such as a racing heart, shortness of breath, dizziness, or chest pain. These attacks can be debilitating and significantly impact an individual's quality of life.


DBT is a form of psychotherapy that helps individuals develop emotional regulation, distress tolerance, and interpersonal effectiveness skills. Originally developed to treat borderline personality disorder, DBT has since been adapted for various mental health conditions, including anxiety and panic attacks.


DBT can provide individuals who experience panic attacks with the skills and tools necessary to manage their symptoms and reduce the frequency and severity of their attacks. Individuals can regain control and improve their overall well-being by learning and practicing these skills.


Emotional Regulation and Mindfulness

Emotional regulation is a critical component of DBT, and individuals must first learn to identify their panic attack triggers. Recognizing the situations or thoughts that may provoke an attack allows individuals to develop targeted strategies for managing their symptoms.


Mindfulness, the practice of non-judgmentally observing one's thoughts, emotions, and bodily sensations, can be a powerful tool for managing panic attacks. Individuals can interrupt their spiraling thoughts by cultivating present-moment awareness and creating space for more adaptive coping strategies.


DBT teaches individuals to recognize and address factors that may make them more vulnerable to experiencing panic attacks, such as sleep deprivation or heightened stress levels. By addressing these factors, individuals can reduce their emotional vulnerability and minimize the likelihood of experiencing an attack.


Distress Tolerance Skills

When experiencing a panic attack, individuals can use grounding techniques to help them reconnect with their present environment and regain control. Techniques such as deep breathing, progressive muscle relaxation, or engaging the senses can help individuals refocus their attention and reduce the intensity of their symptoms.


DBT teaches individuals to develop self-soothing strategies, which can provide comfort and reassurance during a panic attack. Examples include

  • repeating positive affirmations,
  • visualizing a safe place, or
  • engaging in calming activities like soothing music or slow, controlled breathing.


Radical acceptance involves acknowledging the reality of a situation without judgment or resistance. By practicing radical acceptance during a panic attack, individuals can reduce their emotional suffering and focus on implementing effective coping strategies.


Interpersonal Effectiveness Skills

Communicating one's needs and boundaries assertively can help individuals reduce the likelihood of experiencing panic attacks in social situations. Assertiveness training teaches individuals to express their thoughts and feelings respectfully and effectively, which can lead to more positive and supportive relationships.


Developing a strong support network can be crucial for managing panic attacks. DBT encourages individuals to seek out friends, family members, or mental health professionals who can provide understanding, encouragement, and assistance during distress.


Managing panic attacks often requires balancing competing priorities and demands in daily life. DBT teaches individuals to set realistic goals, prioritize self-care, and create a more balanced lifestyle to reduce the risk of panic attacks.


Developing a Personalized DBT Skills Plan

Individuals can work with a mental health professional to assess their needs and identify the DBT skills most beneficial for managing their panic attacks. This personalized approach ensures that individuals receive the most effective and relevant support for their unique situation.


Consistency is key when learning and implementing DBT skills. Individuals should commit to practicing their chosen skills regularly, both during times of calm and during panic attacks, to increase their effectiveness and build confidence in their ability to manage their symptoms.


As individuals practice and implement their DBT skills, monitoring progress and adjusting strategies as needed regularly is essential. This may involve adding new skills, modifying existing ones, or seeking additional support from a mental health professional.


Combining DBT Skills with Other Therapies

While DBT is a practical approach to managing panic attacks, it can also be combined with other evidence-based therapies, such as Cognitive Behavioral Therapy (CBT). CBT focuses on identifying and challenging irrational thoughts that contribute to anxiety, which can complement the skills learned in DBT.


Exposure therapy is another approach that can be used alongside DBT to help individuals confront and gradually desensitize themselves to their panic attack triggers. By facing these situations in a controlled and supportive environment, individuals can reduce their fear and gain greater control over their symptoms.


In some cases, individuals may benefit from adding medication to their treatment plan, mainly if their panic attacks are severe or resistant to therapy alone. A mental health professional can help determine if medication is appropriate and recommend an individualized pharmacotherapy plan.


Final Thoughts

Individuals experiencing panic attacks can develop effective coping strategies and regain control over their symptoms by integrating Dialectical Behavior Therapy skills into their daily lives. With consistent practice, support, and the integration of other therapeutic approaches, individuals can significantly improve their quality of life and reduce the impact of panic attacks on their well-being.


Dialectical Behavior Therapy provides valuable skills for individuals who experience panic attacks. By learning and practicing emotional regulation, mindfulness, distress tolerance, and interpersonal effectiveness skills, individuals can better manage their symptoms, reduce the frequency and severity of their attacks, and improve their overall quality of life.


Grouport Offers DBT Skills Group Online

Want to practice dialectical behavior therapy in a supportive group setting? The Grouport DBT series by Grouport Therapy offers a 12-week program that can help you develop new skills to replace negative behaviors and emotions.


Our group meets once a week at a scheduled time, and you'll receive access to session links via email after enrolling and paying for the program. By joining our DBT skills group, you can improve relationships, manage anxiety, and reduce emotional suffering, regaining hope for the future.


Don't hesitate to take the first step towards a better life. Our next session is waiting for you. Join our Grouport DBT series today and start improving your mental health alongside a supportive group of individuals.

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