Strategies to support clients during a panic attack in-session include:

  • Calm Presence: Maintain a calm and reassuring demeanor. Validate their experience and communicate that they are safe in the therapeutic environment.
  • Grounding Techniques: Guide clients through grounding techniques, such as the 5-4-3-2-1 method (identifying five things they can see, four they can touch, three they can hear, two they can smell, and one they can taste) to help them regain focus.
  • Breathing Exercises: Teach clients how to practice deep and controlled breathing. For example, instruct them to inhale deeply for a count of four, hold for four, and exhale for six.
  • Time-Out Option: Offer clients the option to pause the session if they need a moment to collect themselves, reassuring them that it’s okay to take a break.