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November 7, 2025 by Alan Zupka

Coping With Panic Attacks: Grounding Techniques That Really Work

Managing Panic Attacks Through Awareness and Reconnection

Panic attacks can arrive suddenly and without warning, leaving you feeling overwhelmed and powerless. For many individuals living with anxiety disorders, these moments are marked by a racing heart, dizziness, shortness of breath, or an intense sense of fear that feels impossible to control. Although panic attacks are not physically life-threatening, the emotional experience can feel deeply distressing—especially when the body reacts as though danger is imminent.

In my work as a therapist, I help clients understand that these moments, while frightening, do not define who they are. By learning to identify and reframe the stories surrounding anxiety, we can begin to lessen its power. Through grounding, mindfulness, and structured therapeutic strategies, it becomes possible to regain a sense of calm and agency, even in the midst of panic.

Grounding Techniques for Panic Attacks

When a panic attack arises, the goal is not to fight the feeling but to gently guide the mind back to the present moment. Grounding helps anchor awareness to what is real and immediate, reducing the intensity of panic sensations. A few effective strategies include:

  • The 5-4-3-2-1 Method: Identify five things you see, four things you feel, three things you hear, two things you smell, and one thing you taste. This technique engages the senses, helping the mind reconnect with the safety of the present moment.

  • Deep Breathing
    Focus on slow, steady breaths to regulate the body’s stress response. Breathing deeply signals the nervous system that it is safe to relax, helping to ease the physical symptoms of panic.

  • Sensory Anchoring: Hold something cold, textured, or meaningful to you. This sensory connection brings awareness back to the body and offers a tangible reminder that you are grounded in the here and now.

Grounding is not a cure for panic attacks, but it is an immediate and effective way to interrupt their momentum. Over time, these skills can be strengthened through therapy to reduce both the severity and frequency of panic episodes.

Rewriting the Story of Anxiety

Through Cognitive Behavioral Therapy (CBT), we work to identify and challenge the thought patterns that fuel anxiety and panic. By understanding the connection between thoughts, feelings, and behaviors, you can begin to replace fear-based responses with more balanced perspectives.

From the perspective of Narrative Therapy, I invite clients to externalize anxiety—viewing it not as a personal flaw but as a story that can be rewritten. This approach allows you to reclaim authorship of your life and recognize your strength and resilience.

Mindfulness complements these methods by cultivating awareness and compassion. When we observe our experiences without judgment, we create space to respond rather than react. Over time, this practice helps build emotional resilience and self-trust.

Positive Psychology helps us shift focus toward growth and gratitude, reminding us that every step forward—no matter how small—is a sign of progress and personal empowerment.

Moving Toward Calm and Confidence

Panic attacks can be deeply unsettling, but they do not need to define your life. With the right support, you can learn to navigate anxiety with greater ease and confidence. If you are struggling with panic attacks or ongoing anxiety, I invite you to reach out to me. Together, we can explore the patterns that contribute to your distress, develop effective coping tools, and work toward lasting change.

Schedule a consultation today to begin your path toward a calmer, more grounded life.

Filed Under: Anxiety, panic attacks, panic disorder

October 3, 2025 by Alan Zupka

6 Grounding Techniques to Manage Panic Attacks in the Moment

Finding Calm in the Storm: Grounding Techniques for Panic Attacks

A sudden wave of dread can stop you in your tracks. Your heart pounds, your breathing becomes shallow, and an overwhelming fear takes hold, despite there being no apparent danger around you. It may feel as though you are losing control or experiencing a medical crisis. In those moments, panic attacks can feel all-consuming.

Although panic attacks are distressing, they are not life-threatening. There are tools that can help you return to the present and regain a sense of safety. Grounding techniques gently redirect your attention from racing thoughts to the here and now, helping to ease both physical and emotional intensity.

As a therapist, I integrate the principles of narrative therapy, positive psychology, cognitive behavioral therapy (CBT), and mindfulness to help my clients better understand and re-author their experiences with anxiety and panic. Part of this process includes learning practical skills for moments of acute distress.

Six Grounding Techniques You Can Use Anywhere

These grounding strategies are simple, accessible, and designed to help you reorient during panic. I encourage you to try each one and observe which techniques resonate most for you.

  1. 5-4-3-2-1 Sensory Awareness: Identify 5 things you can see, 4 things you can physically touch, 3 things you can hear, 2 things you can smell, and 1 thing you can taste. This technique anchors your awareness in the present by engaging your senses.

  2. Cold Water Reset
    Splash:
    cold water on your face or hold an ice cube in your hand. The sudden temperature change stimulates the vagus nerve, helping your body shift from a state of panic to one of calm.

  3. Name and Describe Objects: Choose an object nearby and describe it in vivid detail. What is its color, texture, shape, or temperature? This helps activate the logical part of your brain and reduces the power of overwhelming thoughts.

  4. Box Breathing
    Breathe:
    in for a count of 4, hold for 4, exhale for 4, and pause for another 4 before repeating. This structured breath pattern signals safety to your nervous system and slows down physiological responses to panic.

  5. Grounding Object: Carry a smooth stone, coin, or small object that you can hold and manipulate when feeling anxious. The physical sensation can act as a steady reminder that you are safe and grounded.

  6. Gentle Movement: Stretch, pace slowly, or take a short walk. Movement can help release built-up energy, soothe physical tension, and bring you back into connection with your body.

While these tools can be powerful, grounding techniques are not meant to replace deeper therapeutic work. They are part of a larger journey. In therapy, I work with individuals to explore the root of their panic, identify unhelpful thought patterns, and build new, life-affirming narratives. Together, we uncover what your body and mind may be trying to communicate; gently, curiously, and without judgment.

You Deserve Peace

You are not broken, and you are not alone. Panic may be a chapter in your story, but it does not have to define the rest of the narrative. If you are ready to begin healing, I invite you to reach out. I specialize in helping people find relief from anxiety and panic through evidence-based practices and compassionate care.

Relief is possible—and it begins with one brave step.

Filed Under: Anxiety, panic attacks, panic disorder

August 29, 2025 by Alan Zupka

How to Support a Loved One Through a Panic Attack

Supporting a Loved One Through a Panic Attack: What You Can Do

If someone close to you experiences panic attacks, you may feel unsure of how to recognize what is happening or how best to respond. This uncertainty is understandable, and you are not alone in wanting to offer meaningful support. I want to help you feel more confident and compassionate when facing these moments with your loved one.

Recognizing the Signs of a Panic Attack

Even if you have experienced panic attacks yourself, it can still be challenging to identify when someone else is having one. A panic attack often comes on suddenly and without an apparent trigger. Your loved one might be experiencing a panic attack if you notice any of the following signs:

  • Flushed skin, sweating, or appearing overheated (for instance, removing outer layers of clothing)

  • Shaking, trembling, or visibly shivering

  • Rapid or shallow breathing, hyperventilation, or trouble catching their breath

  • Abrupt silence or withdrawal from interaction

From a narrative therapy perspective, it can be helpful to remember that your loved one is not defined by their panic attacks. These episodes are part of their experience, but not the sum of who they are.

How You Can Support Them in the Moment

When someone is experiencing a panic attack, remaining grounded and supportive can make a significant difference. Here are several ways you can offer mindful and compassionate care:

  • Reassure them gently that they are safe, that the episode will pass, and that you are there with them.

  • Invite them to focus on slow, steady breaths by modeling a calm breathing rhythm or counting together.

  • Help them connect with the present moment—perhaps by stepping outside, opening a window, or noticing the texture of an object.

  • Offer to guide them to a quieter, more private space if possible.

  • Bring them a glass of water and invite them to take a sip without pressure.

These small acts, grounded in mindfulness and cognitive awareness, can help someone reconnect with a sense of safety and reduce the escalation of distress. It is also essential to ask your loved one—when they are calm—how they would prefer to be supported during future episodes. This kind of collaborative conversation not only promotes trust but also empowers them to take part in shaping their own coping strategies.

When It Feels Overwhelming, You Are Not Alone

Loving someone who regularly experiences panic attacks can feel emotionally taxing, especially if you feel helpless in those moments. In my practice, I work with individuals and families who are learning how to support one another with care, clear boundaries, and mutual understanding.

If your friend or family member frequently struggles with panic attacks, I invite you to reach out. Together, we can explore strategies drawn from cognitive behavioral therapy, mindfulness, and positive psychology that are specifically tailored to your situation. You do not need to navigate this alone. Contact me today to schedule a consultation, and let us work together toward restoring a sense of calm and connection for both you and your loved one.

Filed Under: panic attacks

Alan Zupka

Alan Zupka | Counselor | LGBTQ Community | Orlando, FL

(407) 986-2888
alan@azupkacounseling.com

Orlando, FL 32803

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