Panic Attacks / Panic Disorder.

Hypnotherapy and Hypnobalancing™ in Berlin to help people with panic attacs and panic disorder
Psychotherapy in Berlin - Specialization: Fears and Anxiety Disorders

Panic Attacks


A panic attack is defined as a discrete period of intense fear or discomfort accompanied by somatic and psychic symptoms. The attack has a sudden onset and rapidly builds to a peak (usually in 10 minutes or fewer). It is accompanied by a sense of imminent danger or impending doom and an urge to escape.

Panic attacks are relatively common and can be a part of a variety of other psychological issues e.g. phobias. Panic disorder is simply fearing to have a panic attack in the future. It is possible to experience panic attacks without a diagnosis of a panic disorder is appropriate – this can sometimes be the case with asthma. Equally, simply having panic attacks may evolve over time into a panic disorder.


Panic attacks are associated with physical symptoms that include the following:

  • Shaking/trembling
  • Feeling that your heart is pounding or racing
  • Sweating
  • Chest pain
  • Shortness of breath
  • Feeling that you are choking
  • Nausea
  • Cramping
  • Dizziness
  • Out-of-body feeling or sense of things not being real (depersonalization or derealization)
  • Tingling or numb feeling in your hands, or feet
  • Chills or hot flushes


These symptoms are caused by an increase in stress combined with inappropriate breathing patterns like hyperventilation. Hyperventilation in effect floods the body with oxygen which in turn generates physical sensations which are often perceived as being threatening, which in turn increases the stress response, which then, in turn, tends to increase the rate of breathing and so on.

As the panic, state escalates the symptoms also increase both in type and regularity. The presence of at least 4 symptoms which develop abruptly and reach a peak within 10 minutes strongly suggests that a person is experiencing a panic attack.

Many of the symptoms that occur during a panic attack are the same as the symptoms of diseases of the heart, lungs, intestines or nervous system. The similarities between panic disorder and other diseases may add to the person’s fear and anxiety during and after a panic attack. It is not uncommon for people to have reported to casualty departments several times as a result of misinterpreting panic attack symptoms with symptoms of serious physical illness.




Types of panic attacks


Basically, there are two types of panic attacks and a variation, depending on the presence or absence of situational triggers.

1. The unexpected panic attacks, in which the onset of the panic attack is not associated with a situational trigger. Those occur spontaneously, out of the blue.

2. The situationally bound panic attacks, in which the panic attack almost invariably occurs immediately on exposure to, or in anticipation of, a situational cue.

3. The third is a variation of situationally predisposed panic attacks, which are more likely to occur on exposure to the situational cue or trigger, but are not invariably associated with the cue and do not necessarily occur immediately after the exposure.




Panic Disorder


When the panic attack response has become conditioned over time people concerned begin to fear future occurrences and become anxious in anticipation. This instigates a negative self-fulfilling prophecy that can itself generate a panic attack. The state of suffering from panic attacks combined with anticipatory anxiety is known as panic disorder. Sometimes it is accompanied by agoraphobia.

Panic disorder is a common condition in which a person has episodes of intense fear or anxiety that occur suddenly – often without warning. These panic attacks can last from a few minutes to several hours. They may occur only once in a while, or they may occur really quite frequently. The cause (trigger) for these attacks may not be obvious or there may be a series of very specific triggers.

Just the fear of having a panic attack is often enough to trigger the symptoms. This is the primary basis for a condition known as agoraphobia. Those with agoraphobia find it difficult to leave home (or another safe area) because they are afraid of having a panic attack in public or not having an easy way to escape if the symptoms occur.




Anticipatory Anxiety


As the result of the first attack, many patients develop the fear that another attack may occur. Therefore, during the intervals between the attacks, the level of diffuse anxiety increases. Anticipatory anxiety has many of the characteristics of generalized anxiety like the increase of attention, apprehension, and hyperactivity. This condition can be intrusive enough to cancel the difference between panic attack and generalized anxiety. It is speculated that such a higher level of diffuse anxiety may lower the threshold for panic, thus increasing the risk of new attacks. The anticipatory anxiety leads to avoidance behavior so that agoraphobia ensues.




Why use Hypnosis and Hypnotherapy?


Panic disorder is easily treated with a variety of available therapies. Especially the combination of hypnotherapy and Hypnobalancing is extremely effective. It even helped most people who have successfully completed another treatment but continued to experience situational avoidance or anxiety. Once treated, the panic disorder doesn’t lead to any long-term or permanent complications.

NOACK Praxis für Angsttherapie Berlin
Specialized treatment for anxiety disorders with hypnotherapy
Budapester Straße 39
10787 Berlin
Tel. 030 – 864 213 69

Information about Hypnotherapy in Berlin.

I am specialized to help people with fears and anxiety disorders.


These pages are intended to provide information to those interested in psychotherapy and hypnotherapy. They are neither intended to replace psychotherapy nor a personal consultation, examination or diagnosis by a licensed physician.

I am not a medical doctor. There are no medical diagnoses, no promises of cures or medication. Any necessary medical or psychiatric treatment should never be replaced by hypnotherapeutic work.

If you have questions about psychotherapy with hypnosis, please do not hesitate to contact me. I am happy to inform you.



Self-hypnosis has helped many patients with stress. Many sufferers usually report very quickly a noticeable improvement. Pondering, fears, mental and physical tension can be additionally reduced by self-hypnosis. Therefore, I teach my patients self-hypnosis to supplement the hypnosis sessions.

After positive trance experiences have been made with my support, self-hypnosis can be learned very quickly. This helps them to progress self-determined outside the therapy. It accelerates the process, deepens and consolidates the achievements. This also promotes the independence of the clients. A good therapist will be superfluous as soon as possible. Self-hypnosis is an excellent self-help method that can be used beyond the actual topic.

Just ask me personally


Let's get into a conversation. If you are interested, for questions and appointments you can reach me by e-mail (, phone 030/86421369 and mobile phone 01577/7045356. By phone, you reach me best from Monday to Thursday from 10:00 a.m. to 6:30 p.m. During the sessions, there is an answering machine. Leave a message and your telephone number and I'll call you.

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