Philippians 4:4–8 offers helpful advice, “Rejoice in the Lord always. ![]() When we surround ourselves with the truth of God and allow His Holy Spirit to transform our hearts, we grow in our faith. This means engaging in regular study of God’s Word, spending daily time with Him in prayer, and being in active relationship with other believers. The more we trust Him, the less we will be overrun with fear. The more we know God, the more we are able to trust Him. Perhaps the best way to start doing this is to study the character and nature of God. When we begin learning how to let God handle our daily fears, we remove some of the stimuli that could contribute to a panic attack. But God does not want us to live in that fear He wants us to have faith in Him instead (Isaiah 35:4 41:10 Luke 12:4 1 Peter 3:14). Life in this world is often dangerous and scary. God understands that we are prone to fear. ![]() “Fear not” is one of the most common commands in the Bible. We can bring our concerns to Him because He is big enough to handle them and we belong to Him in Jesus Christ. ![]() We should acknowledge our fears within the safety of our relationship with God. First Peter 5:7 similarly encourages us to “Cast all your anxiety on because he cares for you.” Denying that we are afraid, pretending we are not worried, or obsessing over our fears can all contribute to our bodies reacting in panic. We cry out to God in our distress, recall His character and His faithfulness, and continue to trust in Him. Psalm 55 shows us a positive response to times of fear. But as for me, I trust in you” (Psalm 55:22–23). But you, God, will bring down the wicked into the pit of decay the bloodthirsty and deceitful will not live out half their days. He concludes the psalm by saying, “Cast your cares on the Lord and he will sustain you he will never let the righteous be shaken. Evening, morning and noon I cry out in distress, and he hears my voice” (Psalm 55:16–17). I would flee far away and stay in the desert.’” A few verses later David writes, “As for me, I call to God, and the LORD saves me. I said, ‘Oh, that I had the wings of a dove! I would fly away and be at rest. Fear and trembling have beset me horror has overwhelmed me. Psalm 55:4–8 describes what a panic attack feels like: “My heart is in anguish within me the terrors of death have fallen on me. In panic mode, a person is completely overcome by the fear response. Many times the Bible reports that people were “filled with fear.” That describes panic. The Bible does not speak of panic attacks by name, but it does present several situations that could provoke one. ![]() We can look to God and His Word to help us learn how to manage feelings of fear or panic we might have, whether related specifically to panic attacks or in life in general. Those who are children of God through faith in Jesus Christ ultimately need not fear. That being said, the underlying issue involved is fear, often both during the attack and the fear that another could occur. It is wise to talk with a doctor about any medical or other interventions needed. Many factors-including biology, heredity, temperament, stress, and experiences-can contribute to panic attacks. Those who have experienced panic attacks can attest to how frightening the episodes can be. Panic attacks are a feature of some medical conditions and some mental disorders. Panic attacks usually begin suddenly and reach a peak in ten or fewer minutes. The attacks can be triggered by specific cues (such as public speaking or reminders of past traumas) or can seem to come out of nowhere. According to the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR) a panic attack is "a discrete period of intense fear or discomfort in the absence of real danger that is accompanied by at least 4 of 13 somatic or cognitive symptoms." The symptoms include things like heart palpitations, sweating, chills, hot flushes, trembling, tingling sensations, shortness of breath, a sensation of choking, chest pain, nausea, dizziness, a sense of unreality or detachment, fear of going crazy, and even fear of dying.
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