For me, I don't call it an actual panic attack until I've lost control of my thoughts and hyperventilating begins,
For me, that's the start of one. Everything blanks & my heart rate jumps from about 50/60bpm into 140-200 range. It can go a couple different directions from there, depending how much/ how little control I have.
- If I have
any control, then I divorce my mind from my body. Most basic, very first step. I kick into fight, not flight, so the only way to protect the people around me is to basically paralyze myself, and remain very very very still... Or to keep doing
exactly what I was doing before. The second piece is harder, and not always possible.
- If I have a lot of control, then I can physically sort of
yank myself back to myself. I'll still want to shred someone, my heart will still be going a mile a moment, my hearing wonky, breathing shallow, and vision completely tunneled to right in front of me... But I can think. And thinking lets me slowly start taking control back over my body. If I catch it soon enough? This can actually just be a couple moment/minute process. If not? It usually takes a few hours while everything washes over and burns/screams/shakes itself out. There's no real sense of time involved. Everything sort of exists all at once. But the more often I do it? The faster I get at catching things early. So it's a lot more like having your face suddenly slammed into a table... Everything goes seriously f*cked for a minute or three, but I'm basically fine, minus the broken nose & slight disorientation. Doesn't really take much out of my day.
- If I have no control? It gets messy. It's been a long time since I had no control.
***
When my anxiety is running hot / I'm having an anxiety attack (as opposed to a panic attack) it's a waaaaaay scaled down version of the above. Everything is spiking, but manageable. Heart rate up, breathing shallow, icewater in my veins, difficult to think, hearing slightly off, vision difficult, movement off... And I'm edgy/reactive/snarly as f*ck, so I have to reeeeally exert a lot of effort to moderate my affect (and often just would rather isolate). But the difference between an anxiety attack and a panic attack? Like the difference between a lightning bug & a bolt of lightning.