What is a rolling panic attack?

Panic attacks are a symptom of a mental health condition known as panic disorder. These attacks are sudden, intense waves of fear that take hold in the mind and body. Panic attacks can arise seemingly out of nowhere and typically last for several minutes. But sometimes, they can come in waves as one attack flows into the next. Some people refer to this experience as a rolling panic attack. 

Having rolling panic attacks can be distressing. But you’re not alone, and there are many ways to treat panic attacks, ranging from therapy to self-management strategies. With the right support, you can learn to manage and prevent panic attacks and regain a sense of control in your life. 

Can panic attacks come in waves?

Yes, panic attacks can come in waves, and the cumulative effect of recurring attacks can feel more intense than individual attacks. However, the symptoms involved in rolling panic attacks are the same as those associated with individual panic attacks. 

These include:

• Rapid heartbeat
• Dizziness or feeling lightheaded
• Sweating
• Nausea or upset stomach
• Chest pain
• A sensation of throat tightness or difficulty swallowing
• Trembling
• Feeling hot or cold
• Shakiness
• Trouble breathing
• Numbness, tingling, or a “pins-and-needles” sensation
• Dry mouth
• Derealization or depersonalization (feeling detached from reality or like you’re outside your body)

These symptoms can be triggered by all sorts of things, depending on the person. But panic attacks may be more likely to arise when you’re:

• In an uncomfortable social situation
• Meeting new people
• In the “spotlight,” like with public speaking 
• In an overstimulating environment, like loud restaurants or concerts 
• Experiencing a traumatic event
• Reminded of a traumatic event
• Engaging in strenuous exercise
• Using or misusing substances, like caffeine or alcohol

The care you need, when you need it

Learn how Rula can support your mental health journey

Subscribe

I agree to receive emails from Rula and accept the terms outlined in Client Email Consent and Privacy Policy.

Possible reasons for rolling panic attacks

Most panic attacks come on suddenly, peak within about 10 minutes, and subside after 20 minutes. In some cases, symptoms can last for up to an hour. But rolling panic attacks occur when a person experiences multiple attacks over the course of several hours. 

Researchers aren’t sure why some people have rolling panic attacks while others experience milder or individual attacks. However, it’s likely due to the presence of a more severe form of panic disorder. This condition is thought to be caused by a combination of genetic, biological, and environmental factors, such as:

• Having a first-degree relative, like a sibling or parent, with the same condition
• Imbalances in certain brain chemicals called neurotransmitters
• Traumatic or very stressful life experiences   

While panic attacks are typically associated with panic disorder, they’re also linked to agoraphobia. Agoraphobia is an anxiety disorder characterized by an intense fear of social situations. If a person has a panic attack in public or in a specific setting, they may become terrified of it happening again in that same place. So, in response, they may try to avoid those situations or environments completely.

Finding relief from rolling panic attacks

Rolling panic attacks may be a sign of severe panic disorder or another mental health condition. So if you experience them, you’ll likely need outside support. There are effective treatments to help you manage your mental health and get your panic attacks under control. 

• Therapy: Cognitive behavioral therapy (CBT) and exposure therapy are some of the most commonly used treatments for panic disorder. CBT can help you reframe the fears that lead to panic attacks and learn to respond to them in new, healthier ways. In exposure therapy, you’ll slowly and gradually engage with your triggers under the supervision of a trained therapist. By confronting your fears in a safe setting, they can have less of an impact on you over time.
• Medication: Certain medications can be helpful for people living with panic disorder, depending on their symptoms. If you’re curious about adding medication to your treatment plan, talk to your provider.
• Self-care: While not a replacement for professional help, there are some self-management strategies you can use to manage panic attacks. These include getting enough sleep, eating a balanced diet, keeping your stress level in check, and staying engaged with care.

If you want to find relief from rolling panic attacks but aren’t sure where to begin, talking to a mental health professional can help. A therapist can conduct a thorough evaluation of your symptoms and provide an accurate diagnosis. This information can help shape the foundation of your treatment plan and help ensure you receive the right care for your needs.

Find care with Rula

We aren’t yet completely sure why someone might be predisposed to rolling panic attacks. But they’re likely the result of severe panic disorder that typically requires professional help to overcome. Fortunately, panic disorder is a treatable condition. With therapy, medication (if needed), and self-care, you can manage your panic attacks and regain control of your life.

At Rula, we’re committed to delivering a comprehensive behavioral health experience that helps people feel seen and understood so they can get back to feeling their best. 

Rula makes it easier to find a licensed therapist or psychiatric provider who accepts your insurance so you don’t have to choose between affordable care and excellent care. With a diverse network of more than 15,000 providers, 24/7 crisis support, and appointments available as soon as tomorrow, we’re here to help you make progress — wherever you are on your mental health journey.

Find a therapist with Rula