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Panic Disorder
Free yourself from the fear of your own symptoms with specialized therapy for panic disorder.
Through our team of online psychologists, You receive a detailed assessment, evidence-based interventions, and ongoing support to resume your life without limitations.
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Psychologists with over 4,000 hours of experience.
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Impact of Psychology
Proven Results of Online Psychotherapy
92%
They are satisfied with online therapy and say it has been helpful in dealing with their emotional challenges.
77%
Of the teenagers who underwent online therapy for social anxiety, none of them showed symptoms at the end of treatment.
80%
Patients experience clinically significant reductions in symptoms of depression, anxiety, and stress after 8- to 12-week programs.
Depression
What is Panic Disorder?
Panic Disorder is characterized by unexpected and recurrent panic attacks, accompanied by a persistent fear of new episodes or the consequences of the symptoms.
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR), the diagnosis requires sudden attacks of intense fear with four or more physical or cognitive symptoms and, after at least one of these episodes, a month (or more) of anticipatory worry or significant behavioral change to avoid further attacks.
Most Common Symptoms of Panic Attacks
Palpitations, tachycardia, or rapid heartbeat
Sweating, trembling, or a feeling of internal shaking.
Feeling short of breath or suffocating
Chest pain or discomfort
Nausea or abdominal discomfort
Dizziness, imbalance, or feeling faint.
Derealization (unreality) or depersonalization (feeling disconnected from oneself)
Fear of losing control, going crazy, or dying.
Paresthesias (tingling) or chills/shivers
The attacks peak within minutes, but leave a trail of anticipatory fear that fuels the anxiety cycle.
Causes and Risk Factors of Panic Disorders
Biological vulnerability – estimated heritability of 43 % in twin studies.
Interoceptive hypervigilance – heightened sensitivity to bodily sensations, interpreted as threatening.
Life experiences A history of acute physical illness, sudden losses, or childhood abuse increases the risk.
Avoidant coping strategies – dependence on “safe zones” or security partners.
Acute or chronic stress – life changes, overwork, sleep deprivation.
Online Psychotherapy
Take the first step, at your own pace.
Taking care of your emotional health is an act of courage and self-care. If you feel it's time to begin this journey, we're here to support you. Book your first session and discover how therapy can make a difference in your daily life.
Your well-being starts with one step. Schedule your session.
How We Help
Professional Psychological Support
for Panic Attacks
Panic Disorder is associated with:
Absenteeism at work and reduced productivity.
Frequent use of emergency services due to fear of heart disease.
Restrictions on driving, travel, and social activities.
Increased likelihood of depression, alcohol abuse, or benzodiazepine abuse.
Family overload due to the need for constant supervision.
Recognizing these impacts motivates people to seek professional help early.
How can we help?
Therapies with proven effectiveness
Cognitive Behavioral Therapy (CBT)
First-line treatment recommended by the American Psychological Association and NICE. Includes psychoeducation, cognitive restructuring, and interoceptive exposure—repeated practice of feared physical sensations (hyperventilating, running in place) until they lose their threatening charge.
Fomenta tolerância às sensações internas e acção orientada por valores, reduzindo evitamento experiencial.
It fosters tolerance for internal sensations and values-driven action, reducing experiential avoidance.
Brief Psychodynamic Therapy
It addresses internal conflicts underlying the fear of loss of control, and is effective in cases where relational traumas fuel anxiety.
Frequently Asked Questions
Have questions? We're here to help.
No. Although the symptoms are intense, they do not cause heart damage. CBT teaches you to reinterpret these sensations in a realistic way.
CBT protocols typically range from 10 to 16 sessions. Many clients report a decrease in attacks within the first 4-6 weeks, especially when practicing daily interoceptive exposure.
Most people improve with psychotherapy alone. When necessary, the combination with SSRIs is evaluated in a psychiatric consultation.
The plan includes review sessions and self-help materials to maintain skills; occasional relapses are seen as an opportunity to reinforce learned techniques.
The psychologist will listen to your story, understand your goals, and explain how the treatment will proceed. This is a time to build trust and define the therapeutic plan.
Bibliographic References
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (5th ed., revised text). Washington, DC: APA; 2022.
National Institute for Health and Care Excellence. Panic disorder in adults (CG22). London: NICE; 2019.
Craske MG, Barlow DH. Mastery of Your Anxiety and Panic (4th ed.). Oxford: Oxford University Press; 2007.
Pompoli A, Furukawa TA, Efthimiou O, et al. Comparative efficacy and acceptability of cognitive behavior therapy and pharmacotherapy for panic disorder with or without agoraphobia: Systematic review and network meta-analysis. Depression and anxiety. 2016;33(8): 692-705.
Carlbring P, Andersson G, Cuijpers P, Riper H, Hedman-Liljegren A. Internet-based vs. Internet-based. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: an updated systematic review and meta-analysis. Cogn Behav Ther. 2018;47(1):1-18.
Hofmann SG, Asnaani A, Hinton DE. Cultural aspects in social anxiety and panic disorder. Depression and anxiety. 2010;27(12):1117-1127.
Arch JJ, Craske MG. Acceptance and Commitment Therapy and cognitive behavioral therapy for anxiety disorders: Different treatments, similar mechanisms? Clin Psychol Sci Pract. 2008;15(4):263-279.
Roy-Byrne PP, Craske MG, Stein MB. Panic disorder. Lancet. 2006;368(9540):1023-1032.
Furukawa TA, Watanabe N, Churchill R. Psychotherapy for anxiety and panic disorders in children and adolescents. Cochrane Database Syst Rev. 2020;8:CD013134.
Kaye JT, Bradford DE, Magruder KP, Watford TS. The role of interoceptive fear conditioning in panic disorder: recent developments and future directions. Curr Psychiatry Rep. 2022;24(3):101-110.
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Online Psychotherapy
Whenever you want.
Wherever you want.
Whenever you want.
No rush and no need to travel.
Feel free to take the next step when you feel the time is right.
How We Help
Professional Psychological Support
Without Leaving Home
Are you looking for certified online psychologists available to help with complete confidentiality?
On our platform, you can book your online psychology appointment in just a few minutes and begin therapy with professionals registered with the Portuguese Order of Psychologists, with the same quality as in-person therapy, but with all the convenience of the digital world.
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Choose times to schedule your day early in the morning, during your lunch break, or at the end of the day.
Experienced Professionals
Psychologists with proven experience and approaches based on scientific evidence.
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Have your session in the comfort of your home or wherever you feel most comfortable.
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Consultation with Online Psychologists
How it Works
1
Complete the Initial Questionnaire
Tell us a little about yourself, your needs and goals. This allows us to recommend the most suitable and specialized online psychologist for the area you need most.
2
Schedule and Pay Easily
Choose the time that is most convenient for you. Scheduling and payment can be done directly online or by phone with our support team.
3
Start Your Online Therapy
On the chosen day and time, access the secure link sent to you and speak with your psychologist via video call. All in a completely confidential environment, ensuring that your online psychology consultation takes place with maximum comfort and privacy.
Take the first step towards your well-being.
Do you need clarity, self-regulation tools, or a confidential space to talk? With our accredited psychologists specializing in evidence-based therapy, you can start therapy from wherever you want, whenever you want, and as often as you want.
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Read articleLoss through death or separation: grief and rebuilding.Important Notice
Online psychology consultations aim to support psychological well-being and are not a substitute for medical, psychiatric, or emergency services.
In case of a psychological crisis or emergency, contact 112 immediately or go to the nearest emergency service.
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