Panic Attack vs. Anxiety Attacks: Key Differences & How Online Treatment Works in NJ

Understanding the difference in mental health conditions can be difficult, especially when symptoms overlap. Panic attacks and anxiety attacks are often wrongly used interchangeably.
Instead of thinking of them as the same, look at how they show up in daily life. Because knowing the differences helps get the right support. In this expert read, we will help you recognize the clear symptoms of panic or anxiety attacks, so that you find treatments that address the root cause and bring relief faster.

Did you know

Panic attacks often mimic heart attacks, with chest pain, dizziness, and shortness of breath, leading many patients to the Emergency Room before realizing the cause is anxiety, not cardiac disease.

What Is a Panic Attack?

Panic attacks are sudden and intense episodes of anxiety, with or without a noticeable trigger. It causes cognitive, emotional, and physical symptoms so severe that some patients wrongly took it as a heart attack.

Types of Panic Attacks

Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) characterizes panic attacks as expected or unexpected.

Expected Panic Attack

The expected panic attacks have specific, identifiable triggers or external causes. For example, a specific phobia or a stressful event like a major exam, public speaking, or more.

Unexpected Panic Attack

This kind of panic attack occurs without any specific, obvious, or identifiable cause. They happen even when a person is relaxed.

Common Symptoms of a Panic Attack

Some of the common symptoms of a panic attack include:

  • apprehension and worry
  • intense distress
  • chest pain
  • numbness or tingling (paresthesia)
  • nausea, abdominal pain, or upset stomach
  • headache
  • feeling faint or dizzy
  • fear of dying or losing control
  • a sense of detachment from oneself or the world
  • sweating
  • trembling or shaking
  • accelerated heart rate
  • shortness of breath
  • tightness in the throat or feeling like you’re choking

Duration of Panic Attack

Panic attacks typically last for a few minutes (5 to 20 minutes). However, in some reported cases, the duration has lasted up to an hour.

Break the Cycle of Anxiety & Panic

Relief is possible with the right care. At AZZ Medical Associates, expert clinicians provide evidence-based treatment to help you regain calm, confidence, and control in daily life.

What Is an Anxiety Attack?

Anxiety attack” isn’t a medical term, and there is no specific diagnostic criterion for anxiety attacks discussed in DSM-5-TR.

Worry, distress, and fear are common responses to any stressful situation or event. When these anxiety symptoms appear suddenly and intensely, then people may refer to them as an anxiety attack.

Common Symptoms of an Anxiety Attack

Anxiety attack symptoms last longer than panic attacks, with less intensity. It is not a diagnosable condition. However, it aligns most closely with GADtype worry episodes or stress responses. These are the common symptoms of generalized anxiety disorder:

  • Increased heart rate
  • Rapid breathing
  • Sleep disturbances
  • Sweating
  • Nervousness
  • Irritability
  • Trembling
  • Difficulty concentrating and more

Duration of Anxiety Attack

Anxiety attack symptoms may persist for minutes, hours, days, to even weeks with varying intensity.

The Key Differences Between Panic Attacks vs. Anxiety Attacks

This table highlights the key distinctions between panic attacks and anxiety attacks. Understanding these differences can help you recognize what you are experiencing.
Panic Attack Anxiety Attack
DSM-5-TR defines panic attack with diagnostic criteria. Not a DSM-defined term neither have diagnostic criteria.
Intense fear and discomfort. Intense anxiety episodes.
Peaks quickly, even without a predictable cause. Gradual build tied to ongoing worry/stress.
Duration is between 5–20 minutes; sometimes up to 1 hour. Can persist longer (hours/days) with varying intensity.
Expected (clear cue) or unexpected (no trigger). Often linked to situational stressors/ongoing worries.
Symptoms so intense that you may feel a mimic heart attack. Many of the same physical symptoms occur during heightened anxiety.
Occur across disorders (panic disorder, phobias, etc.). Closely aligned with anxiety states (e.g., GAD, social anxiety).

Red Flags That Indicate Panic Attacks

There are two main types of panic attacks (expected and unexpected). Here are the red flags that typically indicate a panic attack for both types:

Red Flags of Unexpected Panic Attack

An unexpected panic attack occurs out of the blue, and typically, there is no perceptible red flag or signs of the onset. People may get intense panic attack symptoms even while they are busy doing daily tasks such as watching TV or even doing groceries.

Red Flags of an Expected Panic Attack

Some panic attacks happen in response to specific fears or stressful situations. Others can occur more unpredictably.

These are some of the symptoms often preceded by expected panic attacks:

  • Increased heart rate
  • Avoidance
  • Distress about physical symptoms
  • Catastrophic thoughts
  • Shortness of breath
  • Hypervigilance
  • Panic
  • Anxiety
  • Helplessness

When Anxiety Attacks Become a Concern

In most cases, a single anxiety or panic attack does not need emergency medical care. They become a concern once they’re frequent, last longer, begin to push you to avoid everyday situations, or leave you unsure whether symptoms might be medical.

If you feel chest pain, severe shortness of breath, fainting, or thoughts of self-harm, seek urgent medical care immediately.

If self-help isn’t helping, and you want guidance, talking with a qualified clinician should be your next step. Early support can stop symptoms from becoming severe.

(If you’re in crisis, call 988/911.)

 

Expert Insights

Untreated panic disorder can lead to anticipatory anxiety, the fear of having another attack. This often becomes more disabling than the attacks themselves, reinforcing avoidance and limiting daily life.

Online Psychiatric Care in NJ for Panic Attacks & Anxiety

Capital Psychiatry Group provides evidence-based care for panic and anxiety from anywhere in New Jersey. Each of our virtual visits is conducted by NJ-licensed psychiatrists or psychiatric nurse practitioners over a secure HIPAA-compliant video call, so you can be evaluated, diagnosed, and start treatment without a clinic visit.

How Telepsychiatry Works (step-by-step)

  • Book & verify location
    Choose an appointment slot online or by phone. You will have to attest that you will be physically in NJ during the session (required for prescribing). 
  • Secure video check-in
    You will log on via a HIPAA-compliant platform. Audio/video quality is tested, and ID is confirmed. The platform provided is end-to-end encrypted as per NJ rules. 
  • Psychiatric evaluation
    The board-certified clinician will review your symptoms, the medication you are currently using, and your overall medical history to accurately evaluate and diagnose your symptoms. 
  • Collaborative treatment plan
    If a mental health condition is confirmed, then your treatment options may include medication, CBT/exposure therapy, skills coaching, or lifestyle changes. 
  • Documentation & billing
    A doctor’s medical note is entered into an EHR; a copy can be sent to your primary-care clinician with consent. Claims are submitted like traditional visits.
  • Follow-up & monitoringShort video follow-ups (e.g., every 4–6 weeks) are appointed to adjust medications and oversee therapy progress.

Benefits of Online Treatment

There are many evidence-based benefits of online treatment, including for anxiety attacks and panic attacks. Below are concise, research-backed benefits of safe and online treatment:

  • Telepsychiatry matches in-person care on diagnostic, outcomes, and satisfaction.
  • Telepsychiatry saves cost, which ranges from $147.4 to $222.8 per visit (patient time + travel).
  • New-patient wait times are shorter via telepsychiatry; 43 days vs 67 days in person.
  • Telemedicine visits are completed more often than in-person; no-show 12% vs 25%.
  • Platforms are HIPAA-compliant, with privacy protections comparable to in-person care.
  • Patients avoid about 2.9 hours of driving plus 1.2 hours in-clinic saved per visit.
  • Internet-based CBT is equally effective as face-to-face for anxiety disorders.

Why Choose Capital Psychiatry Group in NJ

Capital Psychiatry Group provides New Jersey–based online psychiatric care for panic and anxiety that’s private and easy to access. Our NJ-licensed clinicians meet with you via secure video/audio and build a plan that helps manage your symptoms effectively.

  • All insurance accepted
  • 24-hour appointments
  • NJ-licensed clinicians
  • Evidence-based treatment
  • Personalized plans
  • Medication safety & monitoring
  • Coordinated care (with your consent)
  • HIPAA-compliant telepsychiatry

Take the First Step : Get Help Today

Not sure if it’s “just anxiety” or any other mental health condition?

Get clarity with an NJ-licensed clinician through secure video/audio telepsychiatry appointments. You’ll have a focused evaluation and diagnosis to determine what mental health condition you are experiencing. Our virtual care is private, structured, and accessible to everyone across New Jersey.

Frequently Asked Questions

No. A panic attack is a defined clinical event; “anxiety attack” is a term people use for intense anxiety.

Most last 5–20 minutes, sometimes a bit longer; symptoms typically peak within minutes.

Yes. They may be expected (clear cue) or unexpected (out of the blue). Unexpected panic attacks come with a perceptible trigger.

In most cases, a single anxiety or panic attack does not need medical emergency, but if episodes recur, are hard to control, or you’re avoiding situations, or if you have chest pain, severe breathlessness, fainting, or suicidal thoughts, you should seek urgent medical care immediately.

CBT/exposure-based therapies and, when appropriate, medications, which are guided by a medical professional like a psychiatrist, and supported for panic disorder and GAD.

Yes, reviews show video/online CBT can be comparable to in-person care for anxiety and panic.

How we reviewed this article:

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David M Bresch, MD

Dr. David Bresch has expertise in neuropsychiatry and sleep medicine. His research includes work in autism, neurology/neuroscience, insomnia in prison, and neuropsychopharmacology. He is a member of the American Psychiatric Association and also certified by the United Council for Neurologic Subspecialties and the American Board of Sleep Medicine.

Abdulrehman Virk

Abdulrahman Virk is a medical writer and editor with 7+ years of experience creating evidence-based healthcare content. He has collaborated with international Medical organizations, including GE Health, Teladoc Health, and more. Producing clear, accurate, and patient-focused materials.

Your mental health matters at Capital Psychiatry Group. We offer evaluations, BHI, and precision medication management to fully optimize your mental health.

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Every article is carefully researched, fact-checked, and reviewed by qualified editors, clinicians, and other experts to ensure accuracy and clarity.

Our Editorial Team

Clinical Adviser:

David M Bresch,

Author:

Abdulrahman Virk

Why This Was Updated

Our team regularly reviews health and wellness writings. Updates are made on the availability of new & authentic information.

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