Panic Attack: What to Do? Can I Help Myself?

Panic Attack: What to Do? Can I Help Myself?


Your heart is racing, your chest feels tight, your thoughts are spinning – when anxiety or panic kicks in, it feels like your body is working against you. But the opposite is true: your nervous system is actually trying to protect you. 

The good news? 
You can actively take control – through your breathing.
A tool that you always have with you! 

 

Why Breathing Techniques Help with Anxiety 

Anxiety puts your body into “fight-or-flight” mode (activating the sympathetic nervous system). Your heart beats faster, your muscles tense up, your breathing becomes shallow and rapid – sometimes even leading to hyperventilation. 

This is exactly where the right breathing technique comes in: by breathing slowly and consciously, you signal to your nervous system that there is no danger. 

 

The Best Breathing Techniques for Anxiety & Panic 


1. Box Breathing (4-4-4-4 Method)
 

This technique helps calm the nervous system and regain focus. 

🔹 How to do it:

  • Inhale slowly through your nose for 4 seconds
  • Hold your breath for 4 seconds
  • Exhale slowly through your mouth for 4 seconds
  • Wait for 4 seconds before inhaling again
  • Repeat the cycle for at least 2 minutes 

💡 Fun fact: This is one of the most scientifically proven methods to improve sleep, reduce stress, and enhance your mood. 

2. Extended Exhalation (6-8 Breathing) 

Longer exhalation activates the parasympathetic nervous system – your body’s “rest and digest” mode. 

🔹 How to do it: 

  • Inhale deeply through your nose for 6 seconds
  • Exhale slowly through your mouth for 8 seconds
  • Repeat for several minutes 

💡 General rule: Extending your exhalation longer than your inhalation naturally calms your nervous system and reduces stress. You can incorporate this into your daily life anytime – no need to always count to 6 or 8! 

3. Humming Breath (Bee Breath / Brahmari) 

This technique uses vibrations to stimulate the vagus nerve. 

🔹 How to do it:

  • Inhale deeply through your nose
  • As you exhale, make a humming “Mmmm” or “Hmmm” sound
  • Feel the vibration in your body
  • Repeat 5-10 times 

💡 The vagus nerve is located in your neck. When activated, it turns on the parasympathetic (calming) nervous systemwhich lets you relax deeply. Do it right: This is just a simple “mmm” hum, not an “Oooohm😉 

4. 5-Finger Breathing (Immediate Panic Relief) 

This technique is especially helpful if you feel overwhelmed and have trouble focusing only on your breath. The movement keeps your mind engaged. 

🔹 How to do it:

  • Hold one hand in front of you
  • Use the index finger of your other hand to trace the outline of your fingers slowly
  • Inhale as you trace up, exhale as you trace down
  • Keep going until you feel calmer 

 

When Breathing Techniques Can Help 

At the first signs of anxiety or stress 
During a panic attack 
Before challenging situations (e.g., exams, presentations, ice bathing) 
As a daily practice to strengthen your mental resilience 

 

Breathing in a Nutshell 

  • Slow, conscious breathing and longer exhalation (compared to inhalation) = reduces stress, activates the parasympathetic nervous system.
  • Humming = stimulates the vagus nerve through vibration, providing extra relaxation for your nervous system.
  • Fast breathing (especially through the mouth, aka hyperventilation) = increases energy, activates the sympathetic nervous system, making you more alert and excited. This should be avoided during panic or anxiety.

 

Get Calmer and more Relaxed 

If you want to learn more about breathing techniques and experience them in combination with other stress-reducing methods like sauna and ice bathing, check out our schedule and join one of our expert-led classes. Discover all our class types here. 

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Q&A

What is the difference between anxiety & a panic attack? / Was ist der Unterschied zwischen Angstzuständen und einer Panikattacke?

EN: Anxiety is usually a more gradual, long-lasting state of worry or fear, often related to a specific situation. A panic attack, on the other hand, comes on suddenly and intensely – often without a clear trigger – and is accompanied by strong physical symptoms like heart palpitations, shortness of breath, dizziness and the feeling of losing control.

DE: Angst ist meist ein schleichender, anhaltender Zustand von Sorge oder Furcht, oft bezogen auf eine bestimmte Situation. Eine Panikattacke hingegen tritt plötzlich und intensiv auf – oft ohne erkennbaren Auslöser – und geht mit starken körperlichen Symptomen einher, wie Herzrasen, Atemnot, Schwindel oder dem Gefühl, die Kontrolle zu verlieren.

How long should I do the breathing exercises before I feel better? / Wie lange soll ich die Atemübungen machen, bis es mir besser geht?

EN: For many people, just 1–3 minutes of slow, controlled breathing (in through the nose, out through the mouth) can already help regulate the nervous system. But it varies from person to person. The key is consistency—doing it regularly helps your body react faster and more effectively.

DE: Für viele Menschen reichen bereits 1–3 Minuten langsames, kontrolliertes Atmen (durch die Nase ein, durch den Mund aus), um das Nervensystem zu beruhigen. Aber das ist individuell unterschiedlich. Wichtig ist die Regelmäßigkeit – je öfter du es übst, desto schneller reagiert dein Körper.

What is the sympathetic nervous system? What’s the parasympathetic? / Was ist das sympathise und was ist das parasympathische Nervensystem?

EN: The sympathetic nervous system is your "fight or flight" mode – it activates stress responses like increased heart rate, increased blood pressure and rapid breathing. The parasympathetic nervous system is your "rest and digest" mode – it calms the body down after stress. Breathwork helps you switch from the sympathetic to the parasympathetic (or the other way round).

DE: Das sympathische Nervensystem ist dein „Kampf-oder-Flucht“-Modus – es aktiviert Stressreaktionen wie erhöhten Puls, erhöhten Blutdruck oder schnelle Atmung. Das parasympathische Nervensystem ist dein „Ruhe-und-Verdauungs“-Modus – es beruhigt den Körper nach Stress. Atemübungen helfen dir, vom Sympathikus in den Parasympathikus zu wechseln (oder auch anders herum).

Can these techniques help with chronic anxiety too? / Helfen diese Techniken auch bei chronischer Angst?

EN: Yes! Regular breathwork, cold exposure, and body awareness can support people with chronic anxiety. While they might not replace therapy or medication, they’re powerful tools to support your nervous system and gain more self-regulation.

DE: Ja! Regelmäßige Atemübungen, Kälteerfahrungen und Körperbewusstsein können Menschen mit chronischer Angst sehr helfen. Sie ersetzen zwar keine Therapie oder Medikamente, sind aber starke Werkzeuge zur Unterstützung des Nervensystems und für mehr Selbstregulation.

Do I need to practice these daily, or only in moments of stress? / Muss ich die Übungen täglich machen oder nur in stressigen Momenten?

EN: Practicing daily is ideal! It builds resilience and helps you stay regulated even when stress hits. But even using the techniques only in high-stress moments is already really helpful – start where you are & do what is possible for you.

DE: Am besten ist tägliches Üben! Das stärkt deine Resilienz und hilft dir, auch in Stressmomenten reguliert zu bleiben. Aber auch wenn du die Techniken nur in akuten Stressmomenten nutzt, ist das schon sehr wertvoll – fang einfach an und mache dann das, was für dich machbar ist.

Sources

Sources

Cleveland Clinic. (n.d.). Try Five-Finger Breathing for Deep Relaxation. [online] Available at: https://health.clevelandclinic.org/five-finger-breathing [Accessed 10 Apr. 2025]. 

Martin, C. (2024). What to Know About Box Breathing. Verywell Health. [online] Updated 18 Jan. 2024. Available at: https://www.verywellhealth.com/box-breathing-7099889 [Accessed 10 Apr. 2025]. 

Maleki, A., Ravanbakhsh, M., Saadat, M., Sayah Bargard, M. and Latifi, S.M. (2022). Effect of breathing exercises on respiratory indices and anxiety level in individuals with generalized anxiety disorder: a randomized double-blind clinical trial. Journal of Physical Therapy Science, 34(4), pp.247–251. https://doi.org/10.1589/jpts.34.247. 

Trivedi, G., Sharma, K., Saboo, B., Kathirvel, S., Konat, A., Zapadia, V., Prajapati, P.J., Benani, U., Patel, K. and Shah, S. (2023). Humming (Simple Bhramari Pranayama) as a Stress Buster: A Holter-Based Study to Analyze Heart Rate Variability (HRV) Parameters During Bhramari, Physical Activity, Emotional Stress, and Sleep. Cureus, 15(4), e37527. https://doi.org/10.7759/cureus.37527.