Panic attack guide

Online review for recurring panic attacks

For adults 18 to 64 with recurring panic attacks that a clinician has already examined in person. A first episode, or one never evaluated, needs an in-person or emergency work-up first.

Start online

Start a $59 online review for Panic attacks.

Panic attacks are sudden episodes of intense fear with physical symptoms (racing heart, chest tightness, shortness of breath, dizziness, tingling, sweating) that peak within minutes and then ease. You get education on the panic cycle, breathing and grounding skills, a note on cognitive behavioral therapy, and, at the physician's discretion, a non-controlled daily SSRI prescribed individually (sertraline is FDA-approved for panic disorder). No benzodiazepine is offered, and no prescription is issued automatically.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response times

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response times apply 24/7, every day

Common symptoms

Sudden waves of intense fear that peak within about 10 minutes and then fade
A pounding heart, chest tightness, or shortness of breath during an episode
Dizziness, tingling, or sweating
Avoiding places where an attack happened

May fit online care

Adults 18 to 64
A clinician examined you in person for these episodes and found no heart, lung, thyroid, or nervous system cause
The episodes keep coming back
You want coping skills and a physician review of a daily non-controlled medicine

Look for another care setting

Chest pain that is new, different, or not resolving, especially with exertion or spreading to the arm or jaw (possible heart problem).
Fainting, severe or new shortness of breath, or a racing or irregular heartbeat that does not settle (call 911).
A seizure or loss of consciousness.
A first-ever episode, or one never evaluated in person.
Unexplained weight loss, heat intolerance, or a new tremor (possible thyroid problem).
Heavy alcohol, stimulant, or drug use, or recent withdrawal.
Taking or recently stopping a benzodiazepine or sedative.
Any thought of harming yourself or someone else (call or text 988).
Past mania or psychosis.
A past allergic reaction to an antidepressant, liver disease, low blood sodium, or narrow-angle glaucoma.
Pregnancy, trying to become pregnant, or breastfeeding.
Age 65 or older.
An MAOI, linezolid, methylene blue, pimozide, another serotonin-raising medicine, or a QT-lengthening medicine or condition.

What to have ready

How often the episodes happen and how long this has been going on
Whether you avoid places or situations because of them
Who examined you for these episodes, and what was checked
Every medicine, vitamin, and supplement you take, with the dose and how often

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer a few questions to check that this visit fits you, and choose how fast you want an answer (the response window). If your concern still fits this service, a physician reviews it and sends you a secure update after you sign in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD. He is board-certified, has extra training in heart care (a cardiology fellowship), and is a member of Alpha Omega Alpha, a medical honor society. He is licensed in Virginia and West Virginia, and your care is never handed off to someone else.

Verify Virginia medical license Verify West Virginia medical license Verify board certification

Is a benzodiazepine offered?

No. No benzodiazepine is offered, as needed or scheduled, and no prescription is issued automatically. At the physician's discretion, a non-controlled daily SSRI may be prescribed individually.

What if this is my first panic attack?

This option is for recurring panic attacks that have already been evaluated. A first episode, or one never evaluated, needs an in-person or emergency work-up first.

What if I have chest pain?

Chest pain that is new, different, or not resolving, especially with exertion or spreading to the arm or jaw, can be a heart problem, so it ends the request and points you to the right care. Fainting, severe or new shortness of breath, or a racing or irregular heartbeat that does not settle needs emergency care (call 911).

Other conditions we treat

Not quite what you have? Here are other conditions we treat.

Adult ADHD (non-stimulant)Anxiety & depression Grief and adjustment support Insomnia (trouble sleeping)Performance anxiety Postpartum mood support