Panic attacks can be terrifying — but they don’t always look like the dramatic scenes we see in movies.
For children and teens, panic attacks can be confusing, scary, and misunderstood. They might not even realize what they’re experiencing is a panic attack.
Knowing the signs can help parents, teachers, and caregivers respond with support — not fear or frustration.
Common Signs of a Panic Attack in Kids and Teens
- Sudden, intense fear or dread without a clear cause
- Racing heartbeat or chest pain
- Shortness of breath or feeling like they’re choking
- Dizziness or lightheadedness
- Shaking or trembling
- Nausea or stomach pain
- Feeling detached or unreal (like the world isn’t real)
- Fear of losing control or “going crazy”
- Wanting to escape or run away immediately
Sometimes, kids describe it as “my heart is beating so fast,” or “I feel like I can’t breathe,” but they might not know it’s a panic attack.
How Panic Attacks Can Show Up Behaviorally
- Clinging to a parent or teacher
- Refusing to go to school or a particular place
- Crying or having a meltdown
- Avoiding activities they used to enjoy
- Complaining of frequent headaches or stomachaches
- Saying they feel “scared” or “weird” but not knowing why
What to Do When a Child Has a Panic Attack
- Stay calm and grounded. Your calmness can help them feel safe.
- Validate their feelings. Say something like, “It’s okay to be scared. I’m here with you.”
- Help with deep, slow breaths. Count breaths together slowly to calm the nervous system.
- Offer a safe space. Let them sit or lie down somewhere quiet if possible.
- Avoid minimizing their experience. Don’t say “There’s nothing to be afraid of” — their fear feels very real to them.
- Reassure them. Remind them the feeling will pass and they are safe.
When to Seek Professional Help
If panic attacks happen often, interfere with daily activities, or if your child starts avoiding school or social situations, consider consulting a mental health professional.
Therapies like Cognitive Behavioral Therapy (CBT) and relaxation techniques can be very effective for managing panic attacks in youth.
Final Thought
Panic attacks in children and teens can feel overwhelming — but with understanding and support, they can learn tools to manage and reduce their fears.
Recognizing the signs early is the first step toward helping your child feel safe, calm, and in control again.