When Worry Feels Like Panic: Recognising and Responding to Panic in Children

Panic attacks can occur in children just as they do in adults—sudden surges of fear accompanied by rapid heartbeat, breathlessness, dizziness, or stomach pain. For a child, these sensations can be terrifying, especially if they don’t understand what’s happening. 

Panic arises when the body’s alarm system misfires, sending “danger” signals even when no threat exists. This activates the fight-or-flight response, flooding the body with adrenaline. The physical sensations themselves can then trigger more fear, creating a cycle of panic. 

Children may describe feeling like they can’t breathe, are “going crazy,” or need to escape immediately. Parents can help by remaining calm, offering reassurance (“You’re safe; this feeling will pass”), and guiding slow breathing. Avoid telling the child to “calm down”—instead, help them ground physically (holding their hand, counting breaths, or focusing on the environment). 

In therapy, children learn about how the brain and body work together, which helps reduce fear of the sensations. Gradual exposure to triggers and relaxation techniques can reduce recurrence over time. 

Understanding panic through a physiological lens helps remove shame. With education, compassion, and consistent support, children learn that panic is uncomfortable—but not dangerous—and that they can regain control with the right tools.