Panic Disorder Treatment via Telehealth in Oregon and Washington
What Is Panic Disorder?
Panic disorder involves recurring, unexpected panic attacks — sudden surges of intense fear or discomfort that peak within minutes. The physical symptoms can be so intense that many people believe they're having a heart attack or medical emergency.
You might be experiencing:
- Sudden episodes of intense fear with racing heart, chest tightness, or shortness of breath
- Dizziness, tingling, sweating, or feeling like you're losing control
- Constant worry about when the next panic attack will happen
- Avoiding places or situations because you're afraid of having a panic attack there
Learn more: NIMH — Panic Disorder
How Is Panic Disorder Treated with Medication?
Medication can significantly reduce the frequency and severity of panic attacks. Common approaches include:
- SSRIs — the most commonly prescribed first-line treatment for panic disorder
- SNRIs — another effective first-line option
- Other medications — selected based on your specific symptoms and response
Many people with panic disorder also benefit from cognitive behavioral therapy (CBT). I can coordinate with your therapist or help you find one. The combination of medication and therapy is often the most effective approach.
What Does Panic Disorder Treatment Look Like via Telehealth?
- Initial evaluation (60 min): Comprehensive assessment of panic symptoms, triggers, and ruling out medical causes
- Treatment plan: Medication recommendations and discussion of therapy options
- Follow-up (15–30 min): Close monitoring initially, then every 4–8 weeks once stable
- Ongoing support: Medication adjustments and strategies for managing breakthrough symptoms
Frequently Asked Questions About Panic Disorder Treatment
Can panic attacks be treated via telehealth?
Yes. Medication management for panic disorder is well-suited to telehealth. Many patients find that receiving care from a comfortable, familiar environment actually reduces anxiety about the appointment itself.
How long does it take for panic disorder medication to work?
SSRIs and SNRIs typically take 2–4 weeks to begin reducing panic attack frequency, with full effect at 6–8 weeks. I'll monitor your response closely during this period and adjust as needed.
Will I need medication long-term for panic disorder?
Many people take medication for 6–12 months after symptoms are well-controlled, then taper off gradually with their provider's guidance. Some benefit from longer-term treatment. We'll revisit your plan regularly based on your progress.
Panic Attacks Don't Have to Control Your Life
Effective treatment is available. I'm accepting new patients throughout Oregon and Washington.
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Written by [Provider Name], PMHNP-BC · Last updated: March 2026