💡 situation
Created: 8/20/2025
Updated: 8/23/2025

What to do when a panic attack hits in public

🎞️ The Sizzle Reel: Find a quiet spot (bathroom works), use 5-4-3-2-1 grounding, ice/cold water on wrists, and remember: panic attacks are terrifying but not dangerous. This will pass.

Full Details

## Emergency Protocol: Public Panic Attack When panic strikes in public, you need immediate, practical strategies that work without drawing attention. ### Immediate Actions (First 30 Seconds) **1. Get to Safety** - Bathroom (private, has water) - Exit to fresh air - Quiet corner or bench - Your car if nearby - Store fitting room **2. Quick Grounding** - Plant both feet firmly - Press palms on thighs - Name where you are out loud - Remind yourself: "This is panic, not danger" ### The 5-4-3-2-1 Technique **Engage Your Senses:** - **5 things** you can see (exit sign, floor pattern, your hands) - **4 things** you can touch (clothing texture, wall, phone) - **3 things** you can hear (music, voices, air conditioning) - **2 things** you can smell (coffee, perfume, or just notice breathing) - **1 thing** you can taste (gum, mint, or just your mouth) ### Physical Interventions **Cold Shock Reset:** - Cold water on wrists (bathroom sink) - Ice from drink on temple/neck - Cold bottle against face - Step outside if cold weather - AC vent if in car **Breathing Emergency Brake:** - Breathe out completely first - In through nose: 4 counts - Hold: 4 counts - Out through mouth: 6 counts - Repeat 4 times minimum ### Discreet Techniques **Look Natural While Coping:** - Pretend to text (actually use calming app) - "Window shopping" (focus exercise) - Sip water slowly (regulation) - "Tying shoe" (head below heart) - "Taking a call" (step outside) ### What to Tell Others **If Someone Notices:** - "I'm feeling a bit dizzy, need a moment" - "Blood sugar feels low, getting water" - "Migraine coming on, need quiet" - "Feeling nauseated, need air" **If You Need Help:** - "I'm having a panic attack, I'm safe but need space" - "Could you get me some water?" - "Please just stay with me for a few minutes" ### Bathroom Protocol **Why Bathrooms Work:** - Private space - Running water available - Mirror for reality checking - Can sit if needed - Socially acceptable to stay **Bathroom Routine:** 1. Run cold water on wrists 2. Splash face if makeup allows 3. Deep breathing in stall 4. Affirmations to mirror 5. Stay until ready ### Phone Apps/Resources **Have Ready:** - Calm or Headspace app - Friend on speed dial - Calming playlist - Photos that ground you - Panic attack reminder notes ### After the Peak **Recovery Phase:** - Don't rush back to activity - Sip water or warm drink - Light snack if possible - Gentle movement - Text support person ### Prevention for Next Time **Prep Kit for Public:** - Portable ice pack - Mints/gum - Essential oil roller - Stress ball - Earbuds for music - Written affirmations ### The Reality Check **Remember These Facts:** - Panic attacks peak at 10 minutes - They cannot kill you - No one has ever "gone crazy" from panic - Most people can't tell you're panicking - It's okay to leave if you need to ### Long-term Strategies **Reduce Future Public Panic:** - Exposure therapy with therapist - Medication for acute anxiety - Regular panic practice at home - Map safe spaces in frequent locations - Build confidence through small wins ### Self-Compassion Script Tell yourself: - "This is temporary" - "I've survived this before" - "My body is trying to protect me" - "It's okay to take care of myself" - "This will pass" *Having panic attacks in public doesn't mean you're weak or broken. With practice and preparation, you can navigate them with increasing confidence.*

Related Topics & Tags

Debug - Tags data: ["coping strategies","grounding","public anxiety","emergency response","crisis intervention"]
Anxiety Crisis management #coping strategies #grounding #public anxiety #emergency response #crisis intervention

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