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Panic Attack: Can you pass out from it?

Panic Attack: Can you pass out from it?

Blog Outline

Panic attacks can be an intensely frightening experience that occurs due to anxiety. The overwhelming anxiety causes physical symptoms like a racing heart, sweating, dizziness, and shortness of breath.

However, have you ever been so devastated by episodes of panic that you feel like you might collapse? These attacks are scary & feel like a threat at the moment, but there are very few chances that one may pass out. 

Read this article to know more about symptoms, risk factors, diagnosis, and how they can be treated. 

Understanding Panic Attacks 

People experiencing anxiety are in persistent fear & experience episodes of panic. These are a combination of mental and physical responses to danger, stress, or excitement. These attacks are debilitating and severe at the moment and cause symptoms such as a racing heart, dizziness, and shortness of breath.

Moreover, it can also occur due to other mental health conditions that have symptoms of anxiety.  People also experience panic episodes when anxiety co-occurs with other mental health disorders. 

Signs and Symptoms

Some of the common signs are as follows:

  • Dizziness 
  • Limb lightening
  • Nausea or abdominal pain 
  • Rapid heartbeat 
  • Chills 
  • Sweating 
  • Feelings of danger 
  • Shaking 
  • Difficulty in breathing 
  • Lightheadedness
  • Chest pain
  • Feeling of choking
  • Fear of dying

Causes-of-panic-attack

These symptoms come and go for a shorter period of time. Once the episode of attack has ended, the individuals remain in a still state & possibly repeat the same cycle again. 

What are the Types of Panic Attacks? 

The experiences vary from person to person; they can also differ according to what prompted the attack.

The DSM-5 lists separate types of this condition, which include:

1. Expected Panic Attacks 

People who experience this are subjected to specific phobias that trigger the panic. These attacks are predictable and can only occur in a known situation. E.g, individuals who have a fear of heights can only get panicked when they experience it. Or people who have a fear of spiders can only get attacked when they see spiders. 

2. Unexpected Panic Attack

Unexpected attacks can occur at any time without any clear reason or indication. It causes a sudden change in the personality of a person, as the person is completely calm and relaxed before the symptoms develop. 

People in this particular state don’t have any external clues that panic disorder is arising. They experience sudden feelings of extreme dread and anxiety, & physical sensations. 

3. Nocturnal Panic Attack

People in this condition have panic episodes while sleeping, which makes them prone to waking up from sleep. It causes excessive sweating, intense issues with breathing, rapid heartbeat, and other symptoms. It usually affects individuals in their teen years or in adulthood.

kinds-of-panic-attacks

Nocturnal panics cause so much terror that it takes a long time to fall asleep again.

4. Limited-Symptom Panic Attack 

People with this condition experience fewer than four attack symptoms. 

It is also a frightening experience, but it does not fully meet the criteria of panic episodes. 

Can Panic Attacks Make You Pass Out? 

During the panic episodes, individuals feel like they might pass out. However, some individuals might faint for a short period of time, but no one has ever passed out because of it. The body and brain react differently during a panic episode; our bodies show symptoms like shortness of breath, rapid heartbeat, sweating, or nausea, whereas our brain contributes to feelings of dizziness.

While experiencing this condition, the sympathetic nervous system activates the “fight-or-flight” response & adrenaline hormone prepares you for immediate danger. However, the physical symptoms like changes in breathing often cause too much carbon dioxide exhalation with less inhalation, and it makes you feel like you are passing out. 

What Causes a Panic Attack? 

The exact cause is not fully understood, but various factors may contribute to the development of panic episodes, such as genetics, environmental factors & mental health conditions. These attacks are prevalent, and anyone can experience them in their life. 

Individuals who have been through traumatic experiences in their childhood or have a family history of this condition are at high risk of developing it. 

Additionally, individuals remain in fear of experiencing another episode of panic, which worsens their condition. They may feel like there’s no relief from it, but it can be effectively treated.

How to Diagnose a Panic Attack?

It can be diagnosed by a professional mental healthcare expert. They conduct a one-on-one session with the individual who is suffering and examine the symptoms. They also check the family history and follow the (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition) DSM-5 criteria. 

They also ask about what psychological questions, like their triggers, also inquire about any use of substances like caffeine or alcohol.

When to Seek Professional Help? 

If you have experienced fainting or feel like you are losing control, seek professional help immediately. 

In rare cases, fainting can be a medical emergency; some of the common symptoms include:

  • pounding heart
  • Have the signs of dehydration, like little urination
  • Staying unconscious for more than a minute 
  • Having a history of heart issues 

What Treatment Options are Available to Treat Panic Attacks? 

Treating anxiety-related disorders, such as panic disorders, is highly treatable with the right combination of medications and psychotherapies. The treatments help individuals to recognize that the symptoms are not life-threatening & can be managed with the right mental health support. A mental healthcare expert also helps them to learn coping skills to reduce the intensity and length of these attacks.

“These attacks are not something you have to live with. Treatment is available, and you can feel better!”

Medications that help reduce the symptoms include antidepressants, which help to regulate mood and reduce panic symptoms, anti-anxiety & benzodiazepines

Note: please don’t take medications on your own; only a mental healthcare specialist can prescribe medications after examining the symtoms & severity. 

can-someone-pass-out-from-a-panic-attack

Here are some of the common research-based psychotherapies to treat them:

1. Cognitive behavioral therapy 

It is evidence-based therapy that helps in changing the thought patterns. It intervenes in the thoughts and changes the negative thoughts into positive ones. A mental healthcare expert changes the behaviors that are associated with episodes of panic, & helps to reduce the frequency and severity.

2. Exposure therapy 

In this therapy, a mental health care expert talks about the fears that provoke these attacks. They expose the individual to their fears in a safe environment and help them learn how to cope with anxiety. This therapy is highly recommended for people with panic disorders. 

3. Dialectical Behavior Therapy (DBT)

It’s a type of CBT that helps people manage emotional distress & intense emotions. DBT provides skills that include staying present, distress tolerance for getting through panic without making things worse, and emotion regulation for managing or changing unwanted emotions. 

Take the first step towards Relief at Orange Coast Psychiatry 

Are you experiencing panic attacks and feeling like it’s getting out of control? 

Do you live in a state of fear and anxiety? There’s no reason to continue living that way.  

At Orange Coast Psychiatry, we’re here to walk beside you on this journey. 

We have a team of professional experts who have decades of experience in treating panic episodes, anxiety, trauma, and other mental health conditions. Our experts provide individualized and group treatments according to your unique condition. We offer evidence-based therapeutic approaches to address emotional distress to help you live a fulfilling life.

Contact us today!

Last Remarks 

Living with panic disorder is a deeply distressing experience; many individuals become faint while experiencing episodes of panic, but no one has ever passed out due to this condition. People experiencing this sometimes lose control of their bodies or experience that their heart is pounding. Everyone has a different experience of panic disorder; it usually occurs due to family history, environmental factors, or childhood traumas. 

However, it is highly manageable with the help of a mental healthcare expert. They diagnose the exact condition and recommend treatment according to the severity of the condition. They sometimes combine medications with psychotherapies to get the desired results.

Frequently Asked Questions

It’s very rare, but yes, one can faint from it, because it causes a spike in blood pressure & an overreaction in the brain that may result in fainting.

Feelings of lightheadedness and dizziness are more common in this condition. However, a panic episode typically causes your blood pressure to rise and makes you feel you might die or black out. It’s more common to feel like you might pass out due to the intensity of the experience.

No, no one ever died while experiencing this condition. Although the symptoms can feel life-threatening. The intense physical sensations like chest pain, heart palpitations, and shortness of breath.

Although it can only be managed by a mental health care professional, one can get a bit better by deep breathing, walking, or talking to oneself to stay calm.

The “3 3 3 rule” is a grounding technique for panic episodes that involves using your senses to anchor yourself to stay in the present moment.

A severe attack feels like a sudden, overwhelming episode of intense fear that causes intense physical sensations like a racing heart, chest pain, shortness of breath, dizziness, and trembling.

It can be triggered by stressful life events, genetic predisposition, or certain physical and environmental factors, though they can also happen unexpectedly. 

Common triggers include stress, major life changes, phobias, and substances like caffeine or alcohol, while physical issues like hyperthyroidism or drug withdrawal can also be the cause of triggering it.

Reference and Footnotes
  1. https://www.talkspace.com/blog/can-you-pass-out-from-a-panic-attack/
  2. https://footprintstorecoverymh.com/can-you-pass-out-from-a-panic-attack/
  3. https://royallifecenters.com/can-you-pass-out-from-a-panic-attack/
  4. https://www.verywellmind.com/types-of-panic-attacks-2584251#:~:text=Panic%20Attack%20Symptoms-,Types%20of%20Panic%20Attacks,1%EF%BB%BF
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Psychiatric Mental Health Nurse Practitioner-BC

Dennis Ly is a Board-Certified Psychiatric-Mental Health Nurse Practitioner dedicated to delivering compassionate, evidence-based, and holistic care. With eight years of nursing experience in emergency medicine, Dennis gained extensive experience working with patients in acute crisis, including those with psychiatric and behavioral health needs. These experiences fostered his passion for mental health and shaped his ability to remain calm, empathetic, and collaborative when supporting patients during their most vulnerable moments.

He earned his Master of Science in Nursing from Capella University and completed his Post-Master’s PMHNP certificate at National University, where he received advanced training in psychiatric assessment, psychopharmacology, and therapeutic interventions for children, adults, and geriatric patients. His clinical focus includes the treatment of anxiety, depression, bipolar disorder, schizophrenia, and ADHD.

In addition to medication management, Dennis integrates therapeutic modalities such as cognitive behavioral therapy (CBT), motivational interviewing, and patient-centered therapy into his practice, tailoring care to each individual’s goals and values. He approaches treatment with a holistic and collaborative philosophy, meeting patients where they are and empowering them to build resilience through personalized care.

Outside of work, Dennis enjoys exercising, eating sushi and Korean BBQ, and traveling.

Leemarie Lewis

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Vivienne Peng

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Dr. Grawert

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Dr. Lauren Grawert is a double board-certified psychiatrist with the American Board of Psychiatry and Neurology and Addition Psychiatry. She is an integral part of the team of Supervising Psychiatrists for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast Psychiatry.
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Jackson Tea

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May is passionate about promoting resilience and recovery through preventive mental health care and individualized, holistic treatment plans. Her commitment to excellence is reflected in her memberships in the American Psychiatric Nurses Association and Sigma Theta Tau International Honor Society of Nursing.
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Richard Samedra.

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Motivated by a growing passion for mental health care, Richard pursued his Registered Nurse (RN) education at Saddleback Community College and later transitioned to La Palma Intercommunity Hospital Behavioral Health. In this role, he specialized in geriatric psychiatry, working with older adults experiencing conditions such as Parkinson’s disease, dementia, depression, and anxiety. This experience solidified his commitment to mental health, leading him to work at Bellflower Community Hospital, where he provided care for patients experiencing severe psychiatric crises, including suicidal ideation, manic and depressive episodes, substance use disorders, and exacerbated schizophrenia symptoms.
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Shaheena Gazipura

Psychiatric-Mental Health Nurse Practitioner-BC

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Shaheena began her career working on an adult psychiatric inpatient unit before transitioning to the geriatric psychiatric inpatient unit at USC Verdugo Hills Hospital. In addition to her clinical work, Shaheena also serves as a Nursing Clinical Instructor, guiding the next generation of nurses through their mental health rotations at a large community college.
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Clint Nacar

Psychiatric-Mental Health Nurse Practitioner -BC

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Mr. Nacar brings over 7+ years of experience with the mental health population. He works to help patients take control of their mental health through patient education, psychotherapy and medication management. Mr. Nacar’s areas of focus include: Depression, Anxiety, Adjustment Disorder, Bipolar disorder, Attention Deficit Hyperactivity Disorder (ADHD), and Post-Traumatic Stress Disorder (PTSD). Mr. Nacar treats children ages 6+, adolescents, and adults, offering both in-person services and telehealth at Renewed Mental Health Group.
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Clint is one of our most experienced Psychiatric-Mental Health Nurse Practitioners at Orange Coast Psychiatry and is 103NP Licensed in the State of California.

Cristian Cuevas

Psychiatric-Mental Health Nurse Practitioner-BC (Fluent in Spanish)

Cristian Cuevas, PMHNP-BC, is a highly skilled board-certified psychiatric mental health nurse practitioner with over seven years of experience in inpatient psychiatry and mental health.
A California State University Long Beach graduate, Cristian also earned recognition as a board-certified psychiatric mental health registered nurse. With a wealth of expertise in adult psychiatric care across the lifespan, Cristian has successfully diagnosed and treated a diverse range of mental health disorders.
Additionally, his specialized experience in child and adolescent inpatient populations further enhances his ability to provide comprehensive and compassionate mental health care.
Cristian Cuevas is the Lead Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry and is supervised by Dr Barrios.

Nicole Leonce

Doctor of Nursing Practice & Psychiatric Mental Health Nurse Practitioner-BC

Nicole Leonce is a Board-Certified Psychiatric-Mental Health Nurse Practitioner with over five years of experience in psychiatry and a strong medical background. She earned her Doctor of Nursing Practice degree from the University of San Francisco and is a proud member of the Sigma Theta Tau International Honor Society of Nursing. Nicole has a special emphasis in Trauma-Informed Care and is deeply committed to providing compassionate, patient-centered, and culturally responsive treatment.

Her clinical expertise includes the diagnosis and management of depression, anxiety, bipolar disorder, trauma-related conditions, ADHD, OCD, substance use disorders, and mood disturbances. She also provides care for individuals navigating grief, life transitions, and relationship stressors. Nicole integrates evidence-based approaches such as psychodynamic therapy, motivational interviewing, and solution-focused techniques, along with medication management, to help her clients achieve balance and emotional well-being.

Nicole believes that every patient’s story deserves to be heard and validated. She strives to create a safe and supportive environment where individuals feel empowered to explore their challenges and reach their full potential.

Outside of her practice, Nicole enjoys reading, traveling, exploring museums, cooking, and dining with friends and family. She also loves spending time with her miniature poodle, Nico.

Dr Barrios

Board-Certified Child and Adolescent Psychiatrist

Dr. Carlos Barrios is a Board-Certified Child and Adolescent Psychiatrist with over two decades of experience in mental health care. His expertise in telepsychiatry has allowed him to serve patients across California and beyond. In his practice, Dr Barrios integrates metabolic and functional methodologies, focusing on guiding patients toward medication independence and emphasizing the connection between physical and mental health.
Outside of his professional life, Dr Barrios is passionate about kettlebell training, which helps him maintain my physical and mental wellness. He cherishes visiting his family in Guatemala, to reconnecting with his cultural roots and rejuvenating his spirit. Dr Barrios is also deeply involved in transcendental meditation and rucking, practices that not only provide him with tranquility but also keep him grounded and connected to nature. These hobbies reflect his commitment to a holistic approach to health, both personally and professionally.