Tele-triage for Panic Symptoms

Audience: adult

Panic symptoms can be sudden and frightening, often including rapid heartbeat, shortness of breath, dizziness, or a feeling of losing control. Telemedicine can help you understand these symptoms, provide guidance, and offer support without needing to visit a clinic in person. Through a tele-visit, healthcare providers can assess your situation, discuss your history, and suggest next steps. However, some panic symptoms may require urgent in-person evaluation to rule out other serious conditions. This guide helps you know when telemedicine is suitable and when to seek emergency care. It also explains how to prepare for a tele-visit, what to expect afterward, and answers common questions about panic symptoms and tele-triage.

Red flags — go in person / ER

• Chest pain resembling pressure or squeezing — seek emergency care immediately.
• Difficulty breathing that worsens or does not improve — call emergency services.
• Loss of consciousness, fainting, confusion, or difficulty speaking — get urgent in-person evaluation.

What telemedicine can do

• Initial assessment of panic symptoms without severe signs.
• Providing guidance on symptom management and coping strategies.
• Follow-up consultations for anxiety or panic disorders.

What telemedicine cannot do

• Diagnosing or treating life-threatening conditions mimicking panic symptoms.
• Performing physical examinations or diagnostic tests.
• Managing severe or worsening symptoms requiring emergency care.

Understanding Panic Symptoms

Panic symptoms often include sudden feelings of intense fear or discomfort. Common signs are a racing heart, sweating, trembling, shortness of breath, chest pain, nausea, dizziness, or a fear of losing control. These symptoms may come on quickly and can be very distressing, but they are usually not life-threatening. Recognizing these symptoms early can help you get the right support.

When to Use Telemedicine for Panic Symptoms

Telemedicine can be a good first step if you experience panic symptoms without severe or life-threatening signs. A healthcare provider can talk with you, review your symptoms, and help determine if you need further evaluation. Tele-visits are convenient and can provide timely advice, especially if you have a history of panic attacks or anxiety disorders.

Signs That Require Immediate In-Person Care

Some symptoms may indicate a medical emergency rather than panic. Seek emergency care if you experience:

These signs could indicate heart problems, stroke, or other serious conditions.

Preparing for Your Telemedicine Visit

Before your tele-visit, find a quiet and private place with a good internet connection. Have a list of your symptoms, any medications you take, and your medical history ready. Write down questions or concerns you want to discuss. Make sure your device’s camera and microphone work well for clear communication.

What to Expect After Your Tele-Visit

After your telemedicine appointment, you may receive advice on managing symptoms, prescriptions, or referrals for in-person care or therapy. Follow the provider's recommendations carefully. If symptoms worsen or new concerning signs appear, seek immediate medical attention.

How to prepare for your tele-visit

• Choose a quiet, private space with good lighting and internet connection.
• Have your medical history and current medications ready to share.
• Write down your symptoms, including when they started and how severe they are.
• Prepare a list of questions or concerns to discuss with the provider.
• Ensure your device’s camera and microphone are functioning properly.

After your tele-visit

• Follow the healthcare provider’s advice and prescribed treatments.
• Monitor your symptoms and note any changes or new symptoms.
• Schedule follow-up appointments if recommended.
• Seek emergency care if red flag symptoms develop.
• Consider counseling or therapy if panic symptoms persist or worsen.

FAQs

What causes panic symptoms?

Panic symptoms often arise from anxiety disorders but can also be triggered by stress, certain medical conditions, or medications. They involve a sudden surge of intense fear or discomfort.

Can telemedicine help me if I have panic attacks?

Yes, telemedicine can provide initial assessment, support, and guidance on managing panic attacks. Providers can help you develop coping strategies and decide if further care is needed.

When should I go to the emergency room instead of using telemedicine?

If you experience chest pain, severe difficulty breathing, fainting, confusion, or other serious symptoms, seek emergency care immediately, as these may indicate conditions other than panic attacks.

How can I prepare for a telemedicine visit about my panic symptoms?

Find a private, quiet space with a good internet connection. Have your symptom details, medical history, and questions ready. Make sure your device’s camera and microphone work well.

What treatments are available for panic symptoms?

Treatment may include counseling, cognitive-behavioral therapy, medications, and lifestyle changes. A healthcare provider can guide you on the best approach based on your situation.

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. Panic Disorder Treatment — Merck Manuals Consumer Version.

This telemedicine guidance is for educational and triage purposes only and is not a substitute for in-person medical care. If you have severe symptoms or concerns, please seek immediate medical attention from a healthcare professional.