Nocturnal Panic Attacks: Waking Up With a Racing Heart

A nocturnal panic attack may wake a person with sudden fear, palpitations, sweating and a sensation of not getting enough air. Not every nighttime episode is panic.

Symptoms, causes and key details

Sleep apnoea, arrhythmia, reflux and some medicines may cause similar symptoms. New or repeated episodes deserve medical review to consider physical causes.

Assessment and practical next steps

Note timing, duration, breathing and chest symptoms. Psychotherapy can address fear of sensations, the panic cycle and avoidance behaviour.

When is urgent help needed?

Do not assume severe or first-time chest pain, fainting, ongoing breathlessness or neurological symptoms are anxiety; seek emergency care.

Frequently asked question

Can panic attacks happen during sleep?

Yes, nocturnal attacks can wake a person suddenly.

This article provides general information, not a personal diagnosis or treatment.

Trusted information source: https://www.nhs.uk/mental-health/conditions/panic-disorder/