Can Telemedicine Treat Panic Attacks - Triage?

Audience: adult

Panic attacks are sudden episodes of intense fear that can cause physical symptoms like a racing heart, sweating, or shortness of breath. Telemedicine can be a helpful way to get support, learn coping strategies, and discuss your symptoms with a healthcare provider from home. During a telemedicine visit, a provider can help assess your situation, suggest ways to manage panic attacks, and decide if you need further care. However, telemedicine cannot replace emergency care if you have severe symptoms or other serious health problems. If you experience danger signs like chest pain, fainting, or thoughts of harming yourself, seek immediate in-person medical help. Telemedicine is a useful tool for education and triage but should be part of a broader plan that may include in-person visits and ongoing treatment.

Red flags — go in person / ER

• Chest pain or pressure that does not go away — seek emergency care immediately.
• Severe difficulty breathing or choking sensation — call emergency services right away.
• Thoughts of self-harm or suicide — contact emergency services or a crisis helpline immediately.

What telemedicine can do

• Initial assessment of panic attack symptoms.
• Providing education about panic attacks and coping strategies.
• Discussing lifestyle changes and stress management techniques.
• Guiding when to seek in-person or emergency care.
• Scheduling follow-up care or referrals.

What telemedicine cannot do

• Performing physical exams or diagnostic tests.
• Managing severe or life-threatening symptoms.
• Providing emergency treatment for chest pain or breathing difficulties.
• Prescribing controlled substances without in-person evaluation (varies by region).

What Are Panic Attacks?

Panic attacks are sudden feelings of intense fear or discomfort that reach a peak within minutes. They can cause symptoms such as a pounding heart, sweating, trembling, shortness of breath, or a feeling of losing control. These attacks can be very frightening but are not usually life-threatening.

How Telemedicine Can Help

Telemedicine allows you to connect with a healthcare provider remotely using video or phone. Providers can ask about your symptoms, help you understand panic attacks, and offer strategies to manage them. They may also discuss lifestyle changes, relaxation techniques, or recommend follow-up care.

When to Seek Emergency Care

If you have chest pain, difficulty breathing that worsens, fainting, severe confusion, or thoughts of harming yourself, these are emergency signs. Telemedicine is not suitable for emergencies. Call emergency services or go to the nearest emergency room immediately.

Limitations of Telemedicine for Panic Attacks

Telemedicine cannot perform physical exams or tests that may be needed to rule out other causes of symptoms. It also cannot provide immediate emergency treatment. Some treatments, like certain medications or therapy, may require in-person visits or follow-up.

Preparing for Your Telemedicine Visit

Before your visit, find a quiet and private place. Write down your symptoms, questions, and any medications you take. Make sure your device is charged and you have a good internet connection. Being prepared helps you get the most from your appointment.

After Your Telemedicine Visit

Follow any advice or treatment plans your provider gives. This may include practicing coping skills, scheduling follow-up appointments, or seeking in-person care if symptoms persist or worsen. Keep track of your symptoms and share updates with your provider.

How to prepare for your tele-visit

• Find a quiet, private space for your telemedicine visit.
• Ensure your device (phone, tablet, or computer) is charged and connected to the internet.
• Write down your symptoms, including when they started and how often they occur.
• List any medications or supplements you are taking.
• Prepare questions or concerns to discuss with your provider.

After your tele-visit

• Follow the coping strategies and advice given by your provider.
• Schedule any recommended follow-up appointments or referrals.
• Monitor your symptoms and note any changes or new symptoms.
• Seek in-person care if symptoms worsen or if you experience red flag signs.
• Consider joining support groups or therapy as advised.

FAQs

Can telemedicine diagnose panic attacks?

Telemedicine providers can assess your symptoms and help determine if they are likely due to panic attacks. However, they may recommend in-person evaluation to rule out other causes.

What should I do if I have a panic attack during a telemedicine visit?

Try to stay calm and use breathing or relaxation techniques your provider suggests. Inform your provider about your symptoms so they can guide you through the episode.

Can telemedicine providers prescribe medication for panic attacks?

Some providers may prescribe medications via telemedicine, but this depends on local regulations and your specific situation. They often recommend starting with non-medication strategies first.

Is telemedicine safe for managing panic attacks?

Telemedicine is generally safe for education and follow-up care. It allows you to access support quickly but is not a substitute for emergency care when needed.

When should I choose in-person care instead of telemedicine?

If you have severe symptoms like chest pain, fainting, or thoughts of harming yourself, seek in-person emergency care immediately. Also, if your symptoms persist or worsen, an in-person visit may be necessary.

Sources

1. Panic Attacks and Panic Disorder — MedlinePlus, U.S. National Library of Medicine.
2. Panic Disorder — Mayo Clinic.
3. Anxiety and Panic Disorders — Centers for Disease Control and Prevention (CDC).
4. Telehealth: What You Need to Know — National Library of Medicine.

This telemedicine guidance is for educational purposes only and is not a substitute for professional in-person medical care, diagnosis, or treatment. If you experience emergency symptoms or have concerns about your health, seek immediate medical attention.