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Patients diagnosed with panic disorder have several treatment options. In the majority of cases, a combination of therapy and medications is the most effective treatment. Antidepressant medications which have been proven to work as a treatment for anxiety disorders are usually effective in preventing future attacks, even in patients who are not depressed. Anti-anxiety medications may also be prescribed to help stabilize symptoms while the long term medication is being started.

It is important to note that use of both antidepressants and anti-anxiety medications should be closely monitored by a physician. They may take time to become effective and the effectiveness varies by patient. A physician may have to modify the dose of a medication several times, or even change medications, before identifying the optimal one for the patient’s symptoms, while minimizing any side effects. Patients should not stop using antidepressant or anti-anxiety medications unless under close supervision of a physician, because this may cause withdrawal symptoms, one of which is likely to be increased anxiety. In addition, use of antidepressants may increase the risk of suicidal thinking and behavior in children and adolescents, according to the U.S. Food and Drug Administration (FDA).  

Cognitive behavior therapy (CBT) can help patients learn techniques that will enable the development of particular coping skills to handle attacks when they occur. Patients will learn to recognize the signs of an impending attack and to use breathing and relaxation techniques to reduce symptoms. In addition, patients may be gradually exposed to situations that are frightening and in which they can test new coping skills. This is known as exposure therapy.

Support groups can also help patients relieve their anxiety. These are sessions in which people with panic disorders share their own experiences and offer encouragement and understanding to one another.