Arlene Holland

Panic Disorder Treatment in South Jordan

Panic attacks can feel sudden and overwhelming, but they don't have to run your life. At Arlene Holland's practice, we provide compassionate, evidence-based treatment that helps you understand your panic response, reduce attack frequency, and rebuild your sense of safety and control.

Understanding Panic Disorder

Panic disorder is characterized by recurrent, unexpected panic attacks — sudden episodes of intense fear that trigger severe physical reactions when there is no real danger or apparent cause. Attacks typically peak within ten minutes and can be so frightening that many people develop an ongoing fear of having another one, a phenomenon called anticipatory anxiety. This secondary anxiety can be more disabling than the attacks themselves, leading to avoidance of places, situations, or activities where an attack might occur, and progressively narrowing daily life. Approximately 2 to 3 percent of adults in the United States experience panic disorder in a given year, with women affected roughly twice as often as men. Symptoms most commonly emerge in late adolescence or early adulthood, though onset can occur at any age.

The causes of panic disorder are multifactorial, involving genetic predisposition, neurobiology, temperament, and life stressors. Research suggests that people with panic disorder have heightened sensitivity in fear-processing regions of the brain — particularly the amygdala — and that neurotransmitter systems involving serotonin, norepinephrine, and GABA play significant roles. Family studies show that panic disorder tends to run in families, though no single gene is responsible. Environmental contributors include a history of significant life transitions, medical illnesses, chronic stress, and past trauma. Certain substances such as caffeine, nicotine, and stimulants can also lower the threshold for panic attacks in susceptible individuals. Understanding these underlying factors helps guide effective, individualized treatment.

Effective, evidence-based treatment for panic disorder exists and works. Cognitive-behavioral therapy — especially the panic-focused protocol that includes psychoeducation, interoceptive exposure, and cognitive restructuring — has consistently shown strong outcomes in clinical research, with many patients experiencing meaningful improvement within twelve to sixteen sessions. Medication, particularly SSRIs and SNRIs, can significantly reduce attack frequency and intensity when used appropriately, and often works well in combination with therapy. Left untreated, panic disorder frequently leads to secondary complications including agoraphobia, depression, substance misuse, and reduced quality of life. Early professional evaluation and treatment substantially improve long-term outcomes and help you reclaim the freedom to live without fear of the next attack.

Common Symptoms of Panic Disorder

Physical Symptoms During an Attack

Racing or Pounding Heartbeat:A sudden surge in heart rate that may feel like your heart is skipping beats or beating out of your chest.
Shortness of Breath:Difficulty catching your breath, a sensation of smothering, or a fear that you may stop breathing entirely.
Chest Pain or Tightness:Sharp or pressing chest discomfort that is often mistaken for a heart attack, prompting emergency room visits.
Sweating, Trembling, or Shaking:Involuntary physical responses driven by the body’s fight-or-flight activation.
Dizziness, Lightheadedness, or Faintness:A sense of losing balance or feeling as if you might pass out at any moment.
Nausea or Stomach Distress:Sudden abdominal discomfort, sometimes severe enough to feel like you may become sick.
Chills or Hot Flashes:Rapid shifts in body temperature perception unrelated to the environment.
Numbness or Tingling:Sensations in the face, hands, or feet — often a sign of hyperventilation during an attack.

Emotional & Behavioral Patterns

Feelings of Unreality or Detachment:A sense that you or your surroundings are not real (derealization) or that you’re watching yourself from outside your body (depersonalization).
Fear of Losing Control:Intense worry that you’re going to lose your grip, act irrationally, or lose touch with reality.
Fear of Dying:Overwhelming certainty during an attack that something catastrophic is happening physically — often a heart attack or stroke.
Anticipatory Anxiety:Persistent worry between attacks about when the next one will occur, often lasting hours or days.
Avoidance of Places or Activities:Restructuring daily life to avoid situations where an attack previously occurred or would be difficult to escape.
Emergency Room Visits:Multiple ER visits or medical workups that fail to identify a physical cause for the symptoms.
Reliance on “Safety Behaviors”:Always carrying medication, staying near exits, or requiring a companion to leave home.
Loss of Confidence & Isolation:Withdrawing from work, relationships, and hobbies out of fear that an attack will happen in public.

If you recognize these symptoms in yourself or a loved one, help is available. Panic disorder is highly treatable, and early professional support prevents years of unnecessary suffering.

How We Treat Panic Disorder

Comprehensive Evaluation

We begin with a thorough psychiatric assessment to understand your attack pattern, identify triggers, rule out medical mimics, and evaluate for co-occurring conditions such as depression, agoraphobia, or substance use. This assessment shapes a personalized treatment plan aligned with your goals and preferences.

Targeted Treatment Plan

Depending on symptom severity and personal preference, treatment may combine cognitive-behavioral therapy — particularly panic-focused CBT with interoceptive exposure — with SSRI or SNRI medication management. Both approaches have strong evidence, and we adjust the balance to fit your life.

Ongoing Support & Adjustment

Progress is monitored at regular intervals. As your attack frequency and anticipatory anxiety decrease, we reinforce coping skills, extend gains to real-world situations, and prepare you for long-term independent management with a plan for accessing help if needed.

Get Help for Panic Disorder Today

You don't have to keep living in fear of the next attack. Reach out and let's work together to help you feel steady again.