Panic Disorder Treatment

Wellness Hills offers panic disorder treatment in New Jersey for individuals with recurring panic attacks and avoidance, using CBT and exposure therapy.

Evidence-Based Care for Panic Attacks

Expert-Led Panic Disorder Treatment Program in New Jersey

It can be scary to feel like a wave of terror could hit you at any time. For many people, a panic attack doesn’t just feel like being nervous; it feels like a real medical emergency. During an attack, you might feel pressure in your chest, trouble breathing, dizziness, and a scary feeling that you are losing control.

Because these feelings are so intense, many people go to the emergency room thinking they are having a heart attack. It is very common to see a doctor for these physical symptoms before realizing that they are actually caused by panic and are treatable.

Wellness Hills Mental Health specializes in panic disorder treatment in Chester, New Jersey, for adults struggling with recurrent panic attacks, anticipatory anxiety, and avoidance patterns that shrink daily life. We offer three levels of support based on how much your panic attacks affect your daily life: Weekly Therapy (Outpatient), Intensive Outpatient Support (IOP), and Full-Day Support (PHP).

Next Step: A clinical assessment can determine which program level (PHP, IOP, or OP) is appropriate for your symptoms. During screening, we look at attack frequency, functional impairment, avoidance and agoraphobia patterns, and safety concerns to recommend the most appropriate level of care. Go to our admissions page to learn how our team verifies your insurance coverage for these levels of care.

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Panic Attack Symptoms

Panic Attacks Can Feel Like a Medical Emergency

The physical intensity of a panic episode is often so profound that the brain’s logical centers are overwhelmed by fight-or-flight signals.

What a Panic Attack Feels Like in the Body

A panic attack is your body’s emergency alarm going off when there is no real emergency. It feels very scary and reaches its worst point within a few minutes.

Here is what it may feel like:

  • The false alarm: A panic attack is a surge of the body’s fight-or-flight response without an actual external danger. The symptoms are real and intense, but the signal is mismatched to the moment.
  • Heart and chest: You might feel your heart pounding, racing, or fluttering. Your chest may feel tight or painful, making you worry you are having a heart attack.
  • Breathing: You might feel like you can’t catch your breath or even like you are choking or being smothered.
  • Strange Body Feelings:
    • Pins and needles: Numbness or tingling, especially in your hands, face, or feet.
    • Shaking and sweating: You might tremble, shake, or have hot and cold flashes.
    • Dizziness: Feeling lightheaded or like you are going to faint.
  • Scary thoughts: Many people feel like they are going crazy, losing control, or are about to die.

The Panic Cycle and Why it Repeats

Think of the panic cycle as a simple, but scary, loop. It is about how you think about what you feel in your body.

  1. A Small body feeling: It starts with a small, normal feeling. Your heart may beat faster because of stress, coffee, or exercise.
  2. The Scary thought: Instead of thinking “Oh, just some coffee,” you think the worst possible thing: “I’m having a heart attack right now!”
  3. The Body reacts to the thought: This scary thought makes you feel very afraid. Your body releases more adrenaline (a fight-or-flight chemical), which makes your heart beat even faster.
  4. The loop continues: Now your heart is really pounding, which makes you even more scared. The bad thought and the body feeling feed each other, making the fear grow bigger and bigger until a full panic attack happens.

The Fear of Fear

After this happens a few times, you start to worry about the next time. This is called the fear of fear. You start watching your body all the time, waiting for that small feeling.

Safety Rules That Don’t Help

To feel safe, you might start doing specific things called safety behaviors, but they actually keep the cycle going:

  • Checking your pulse a lot.
  • Only going to certain stores you think are safe.

These behaviors tell your brain that the small-body feelings are really dangerous. Breaking this cycle means learning that the small feelings are normal and that your scary thoughts are just thoughts, not facts.

Panic Attacks vs Panic Disorder vs Generalized Anxiety (GAD)

  • Panic attack (is an episode):  A short, super-intense burst of fear. Your heart might race, you might not be able to breathe, and you might feel like something terrible is happening right now.
  • Panic Disorder (is a pattern): It is a diagnosed mental health condition characterized by recurring, unexpected panic attacks.
  • Generalized Anxiety Disorder (is chronic worry): It involves persistent and extreme worry about various everyday issues.

When Panic Becomes Urgent

Red Flags That Warrant ER or 911 Evaluation

If you are in immediate danger, call 911. Seek urgent medical care for:

  • New or unexplained chest pain.
  • Fainting or loss of consciousness.
  • Severe shortness of breath.
  • New neurological symptoms (weakness, slurred speech, vision loss).
  • Symptoms following injury, illness, or pregnancy.

Medical evaluation is essential before assuming symptoms are panic-related.

If Caffeine, Nicotine, Stimulants, or Medication Changes Are Involved

Some substances and medication changes can mimic panic by increasing heart rate, breathing rate, or agitation.

If symptoms began after a change in caffeine, nicotine, stimulants, alcohol use, or sedating medications, tell your medical provider during evaluation. Do not stop alcohol or sedating medications abruptly without medical guidance.

This helps clinicians determine whether symptoms are panic disorder, a medical issue, or a substance or medication-related effect.

New Jersey Crisis Support and After-Hours Options

  • Call or Text 988: For 24/7 confidential support when you are overwhelmed or in crisis.
  • Call 911: If your physical symptoms feel like a medical emergency (like chest pain).
  • Wellness Hills hours: We provide assessments mostly during the day. If you need help at night or any time that we may not be readily available, please use 988 or your local hospital’s crisis line.
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Therapy session for panic disorder treatment and anxiety support

Clinical Signs & Patterns

DSM-5 Signs of Panic Disorder and Related Presentations

DSM-5 Aligned Criteria in Plain Language

The DSM-5 panic disorder criteria require the presence of recurrent, unexpected panic attacks. At least one attack must be followed by one month or more of persistent concern about additional attacks (anticipatory anxiety) or a significant change in behavior related to the attacks.

This behavior change is often maladaptive, meaning the person stops doing things they enjoy or need to do because they are afraid of having an episode. A licensed clinician at Wellness Hills can assess whether your experience meets these clinical thresholds.

Panic Disorder with Avoidance and Agoraphobia Patterns

For many, fear of panic leads to avoidance behaviors, which can develop into agoraphobia, anxiety about being in places or situations where escape might be difficult or help unavailable if a panic attack occurs.

Some people develop avoidance that shrinks daily life, such as:

  • Avoiding driving, highways, or public transit.
  • Skipping stores, crowds, or enclosed spaces.
  • Staying close to safe places or people.
  • Leaving situations early or only with reassurance.

These patterns are treatable but often require structured exposure work.

Common Medical Look-Alikes and What to Rule Out

Before committing to long-term panic attack treatment in New Jersey, we encourage clients to have a thorough physical with their primary care physician. Several medical conditions mimic panic by creating identical physical sensations.

  • Hyperthyroidism
  • Arrhythmias
  • Inner ear issues
  • Anemia

How Treatment Works

Our Panic Disorder Treatment Protocol in New Jersey: CBT & Interoceptive & Situational Exposure

How the protocol works (in practice):

We start by identifying your personal panic pattern, what you notice in your body, what you fear it means, and what safety behaviors you use to cope (checking pulse, avoiding driving, only going with reassurance). Then we build a step-by-step plan to reduce fear of sensations (interoceptive exposure) and restore avoided activities (situational exposure).

Progress is tracked with brief check-ins, and the plan is adjusted if avoidance or anticipatory anxiety stays stuck.

CBT for Panic and Why Thoughts and Sensations Both Matter

CBT for panic disorder focuses on how your thoughts and body feelings work together to create panic.

  • The goal: To learn that fast heartbeats or dizziness are just uncomfortable, not dangerous.
  • How it works: You work with a therapist to catch worst-case thoughts (like “I’m dying”) and replace them with more realistic ones (like “My heart is just beating fast because I’m stressed; it will slow down soon”).

Interoceptive Exposure and Reducing Fear of Physical Symptoms

Interoceptive exposure therapy can help you stop being afraid of your own body. Here, with close supervision and guidance of the treatment team, you safely practice having the feelings you fear in a controlled way. By feeling these sensations on purpose and seeing that nothing bad happens, your brain learns that they are false alarms.

Situational Exposure for Avoided Places and Routines

Exposure therapy for agoraphobia and avoidance addresses places and activities people have been avoiding. Treatment uses a hierarchy approach:

  • Gradual return to avoided situations.
  • Repetition until fear decreases.
  • Reducing reliance on safety behaviors.

This work is planned collaboratively and adjusted based on progress over time.

Skills that Support Treatment Between Sessions

Therapy can work better when you practice these skills in your daily life:

  • Grounding: Simple tricks to focus on the real world when you feel a panic spike, like naming 5 things you can see.
  • Slow breathing: Calm, steady breathing to signal to your body that it is safe.
  • Lifestyle awareness: Keeping track of things like sleep and caffeine, which can sometimes make your body more likely to trigger an alarm.
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Get Up to 100% Covered with Insurance

We Work With Most Major Insurance Companies

Find out your personal coverage & options for treatment with a free verification of benefits from our admissions team. Whether you come to our programs or not we will ensure that you receive personalized recommendations for treatment based on your needs.

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Medication for Panic Disorder

Medication Options and Psychiatric Support

Medication decisions are individualized and made with a qualified prescriber. If medication is part of your treatment plan, we coordinate with psychiatric support as appropriate and focus on therapy skills that reduce avoidance and fear of sensations.

First-Line Medications and What They Target

When clinically indicated, the most commonly used panic disorder medication comprises a type called SSRIs or SNRIs. They are antidepressants that can help calm down the brain’s fear alarm so you don’t panic as easily. They can help steady your brain’s chemistry so your body doesn’t overreact to stress as often.

Short-Term Medications, Dependence Risks, and Safety

Sometimes, doctors suggest medicines that work very quickly, but they use them carefully.

  • The risk of habit-forming: Some of these quick medicines can be hard to stop taking if used too long (dependence).
  • Be careful with alcohol: Some fast-acting medications can interact dangerously with alcohol or other sedating substances. Follow your prescriber’s guidance and avoid combining substances unless a clinician confirms it is safe.
  • Watching closely: Your doctor will check on you often to see how the medicine is working and if it is causing any side effects.

Coordinating Meds with Therapy and Primary Care

When medication is part of care, Wellness Hills collaborates with primary care and psychiatric providers (psychiatrists or PMHNPs) to monitor response, manage side effects, and align medication plans with psychotherapies such as CBT and exposure-based goals.

Client Testimonials

What Our Clients Say About Wellness Hills

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Average 5.0 Rating

“Wellness Hills Truly Changed My Life. From the Moment I Walked in.”

"I felt supported, understood, and never judged. The therapists here actually listen, and the groups helped me build confidence and skills I didn’t even know I needed. I’m healthier, calmer, and finally hopeful about my future. I’m so grateful for the care I received.”

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Client Satisfaction

Outpatient, IOP, & PHP Options

Choosing the Right Level of Care in New Jersey

Wellness Hills offers Outpatient (OP), Intensive Outpatient (IOP), and Partial Hospitalization (PHP), depending on how much panic and avoidance are disrupting daily life.

Outpatient Therapy When Panic is Disruptive But Stable

Outpatient therapy may be appropriate if:

  • Panic attacks occur, but daily functioning is mostly intact.
  • Avoidance is limited.
  • You can practice skills independently between sessions.

Weekly sessions focus on CBT and exposure planning.

Intensive Outpatient Program When You Need Structure and Repetition

IOP for anxiety and panic disorder offers:

  • Multiple therapy sessions per week.
  • Group and individual support.
  • Repeated exposure practice.

This level can be appropriate for moderate impairment or stalled progress in outpatient care.

Partial Hospitalization Program When Panic is Severe or Daily

A Partial Hospitalization Program (PHP) is an intensive day-treatment option that Wellness Hills may use for severe panic attacks.

  • You attend the program for several hours (usually 5 to 6 hours) during the day, 5 to 7 days a week. At the end of each day, you go home to sleep in your own bed.
  • Instead of seeing a therapist once a week, you get hours of daily support. This includes CBT to change scary thought patterns and supervised exposure work to help you face panic triggers in a safe environment.
  • You’re supported by a multidisciplinary clinical team. When medication is part of care, psychiatric support is coordinated, and treatment plans are adjusted based on clinical need and progress.
  • Support for daily living: This program can be helpful when panic is so frequent or severe that you struggle to handle normal tasks, such as working, going to school, or leaving the house.
  • A bridge to recovery: PHP is often used to prevent a hospital stay or to help someone transition back to normal life after leaving a full-time hospital program.

How Screening and Placement Decisions Are Made

Placement follows a clear pathway:

  • During the first talk, you talk about your history and what has been happening lately.
  • A licensed professional looks at your symptoms to see how serious they are.
  • Together, you will decide which program is best for you:
    • Regular Therapy (OP)
    • Part-Time Program (IOP)
    • Full-Day Program (PHP)
  • The moving plan: They create a plan that lets you move to easier programs as you get stronger or move to stronger programs if you need more help.

Panic Disorder Treatment at Wellness Hills in Chester, New Jersey

Many clients come to Chester from across North Jersey, depending on schedule and level of care. During your screening, we’ll confirm the best fit, session times, and whether telehealth is appropriate for you.

What Treatment Typically Includes at Wellness Hills

Panic disorder treatment here is structured around CBT and exposure-based therapy. After an assessment, we help you:

  • Map your personal panic cycle (triggers, body sensations, thoughts, and the safety behaviors that keep the cycle going).
  • Practice interoceptive exposure to reduce fear of physical sensations.
  • Build a gradual situational exposure plan for avoided places and routines.
  • Track progress using brief check-ins (like PDSS and GAD-7) and adjust the plan if progress stalls.

The goal is not never feeling anxiety, it’s regaining function and confidence without avoidance.

What to Expect in Treatment (Typical Timeline)

Most people start by learning how panic is maintained (sensations, interpretations, avoidance, and safety behaviors), then move into structured exposure practice. Early sessions focus on assessment and planning; progress usually depends on consistency with between-session practice and completing exposure steps.

  • Weeks 1–2: assessment, mapping your panic cycle, building an exposure plan.
  • Weeks 3–6: interoceptive and situational exposures; reducing safety behaviors; relapse-prevention skills begin.
  • Weeks 7–12: expanding to higher-difficulty exposures, strengthening independence, and planning step-down and maintenance.

If symptoms are severe or progress is stalled, a higher level of structured care may be recommended.

Who Provides Care, and What Each Role Does

Care is delivered by New Jersey licensed clinicians, including:

  • Leigh Rasmussen, LPC, LCADC, Program Director.
  • Abby Goodrich, LAC, Primary Therapist.
  • Group clinicians facilitating CBT-based programs.
  • Psychiatric support is coordinated with Paula Weisman, PMHNP-BC, when medication is indicated.

Wellness Hills is licensed by the New Jersey Department of Health (License No. 70290104) and follows formal clinical policies that support safety, privacy, and the quality of care.

Co-Occurring Conditions We Screen For and Treat Alongside Panic

Panic symptoms may co-occur with:

  • Depressive symptoms
  • Trauma-related symptoms
  • OCD traits
  • Substance use concerns

Screening helps tailor treatment and coordinate care appropriately. If panic occurs alongside OCD, trauma symptoms, or depression, the treatment plan is adjusted so CBT and exposures target the primary maintaining loop, for example: avoidance and safety behaviors, reassurance and compulsions, trauma-triggered threat responses, or withdrawal and shutdown patterns.

This prevents treating panic in isolation when another condition is driving relapse or slowing progress.

Outcomes Tracking and Measurement-Based Care

When appropriate, we may use brief tools like PDSS or GAD-7 at baseline and then periodically to track change over time. If progress stalls, we review what’s keeping symptoms stuck, avoidance patterns, safety behaviors, exposure difficulty level, session frequency, or co-occurring factors, and adjust the plan (for example, revising the exposure hierarchy, increasing structure through IOP or PHP, or coordinating with a prescriber when clinically indicated).

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Common Questions

Frequently Asked Questions About Panic Disorder Treatment

These FAQs answer the questions people most often ask when exploring care and scheduling an initial screening.

How do I know it is panic disorder and not a heart problem?

Panic symptoms, such as a racing heart and chest tightness, are physically identical to some heart conditions. However, panic is a false alarm of the nervous system. You should see a doctor for a physical exam first. If your heart is medically cleared, a clinician can assess if your symptoms are consistent with panic disorder.

While some people have periods of remission, untreated panic disorder often leads to increased avoidance and a smaller life. Professional treatment provides the skills to stop the panic cycle so you aren’t just waiting for the next attack to happen.

CBT (Cognitive Behavioral Therapy) with a focus on exposure can be an effective treatment. It helps you change your thoughts about panic while retraining your body to handle physical sensations without fear. Wellness Hills integrates these modalities into all levels of care.

You do not always need medicine to get better. Many people feel relief just by talking to a therapist and practicing how to face their fears.

We build an exposure plan around the specific sensations and situations you avoid, practice step-by-step, and reduce safety behaviors that keep panic stuck.

Level of care is based on severity, functional impairment, avoidance, agoraphobia patterns, and whether progress is stalling at a lower level.

Admissions & Insurance

Insurance Verification, Costs, and What Admissions Can Clarify

Our admissions team can help you with:

  • Insurance verification: Benefits, authorization requirements, and covered levels of care.
  • Estimated Costs: Explain how the cost changes depending on which program you choose (like the full-day program or just weekly therapy).
  • Privacy: Answer questions about how we keep your information confidential and secure, in accordance with HIPAA regulations.
  • Next steps: Scheduling, required paperwork, and what to bring to the first appointment.

Important: This page has health information, but it is not for emergencies. If you are in immediate danger, call 911. If you have thoughts of hurting yourself, call or text 988 for free, 24/7 help.

U.S. Department of Health & Human Services (HHS) | HIPAA Privacy Rule and Sharing Information Related to Mental Health (PDF) – Official HHS guidance explaining when mental health information can be shared under HIPAA, including special protections for psychotherapy notes and permitted disclosures to family/caregivers in certain situations.

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