A Thoughtful Approach to Treating Panic Attacks
- Jennifer Seay
- Mar 19
- 2 min read
By Jennifer Seay, PMHNP-BC
Panic attacks can feel overwhelming and, for many patients, frightening enough to impact daily life.
A common expectation is that treatment will involve medications like Xanax or other benzodiazepines. While these medications can provide rapid relief, they also come with important risks—including dependence, tolerance, and potential long-term cognitive concerns.
Because of this, my approach is often more conservative and focused on safety without sacrificing effectiveness.
A Safer First-Line Option
In many cases, I prefer starting with hydroxyzine, a non-controlled medication that can be very effective in reducing the physical symptoms of anxiety and panic.
Hydroxyzine can help:
Calm the body during acute panic episodes
Reduce racing thoughts and physical tension
Provide relief without the risk of addiction
For patients who are concerned about becoming dependent on medication—or who simply want a safer alternative—this can be a powerful option.
Avoiding Unnecessary Risk
Medications like Xanax can be helpful in specific situations, but they are not always the best long-term solution.
In my clinical experience, relying heavily on benzodiazepines can:
Lead to dependency over time
Require increasing doses for the same effect
Be associated with long-term cognitive risks
My goal is always to treat the panic while protecting the patient’s long-term health.
Individualized Care Matters
Every patient’s experience with panic is different. Some need fast-acting support, while others benefit from a broader treatment plan that may include therapy, lifestyle adjustments, or additional medications.
I take the time to understand each patient’s triggers, patterns, and concerns before creating a plan that fits their life—not just their symptoms.
Moving Forward
Panic attacks are treatable, and you don’t have to rely on high-risk medications to find relief.
With the right approach, it’s possible to regain control, reduce fear, and move through life with confidence again.
Jennifer Seay, PMHNP-BC
Board-Certified Psychiatric Mental Health Nurse Practitioner
Seay Family Psychiatry
(352) 201-8765
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