Panic Attacks

SYMPTOMS

How Does a Panic Attack Present?

A sudden, intense episode of fear lasting 10–20 minutes

Physical Symptoms

Palpitations, chest tightness, shortness of breath, numbness in hands and feet, dizziness, sweating.

Fear of Death

"I'm going to die", "I'm having a heart attack" — yet medical tests come back normal.

Avoidance Behaviour

Avoiding places where an attack has occurred: shops, the metro, crowds. Living space gradually narrows.

Anticipatory Anxiety

The fear of "it happening again" is ever-present. This fear itself triggers new attacks.

Social Isolation

Going out alone becomes impossible. A "safe person" nearby is always needed.

Sleep Disturbance

Nocturnal attacks, fear of falling asleep, dreams with a constant sensation of trembling.

TREATMENT PROCESS

How Does Therapy Work?

A combination of CBT and exposure therapy delivers the most effective results

Understanding the Panic Cycle

The panic cycle is explained. An understanding of "this cannot harm me" is developed. Psychoeducation is a critical step.

Breathing and Relaxation

Breathing techniques that can be applied during an attack are taught. Bodily responses are regulated.

Cognitive Restructuring

Catastrophising thoughts are identified. Realistic alternatives are prepared.

Exposure Therapy

Gradual approach to avoided situations. Fear diminishes, living space expands.

PRICING

Consultation Fees

A single session or a monthly package — choose the format that suits you

1 Session50 minutes

Online5,000 RUB

In person9,000 RUB

Monthly Package4 sessions + WhatsApp support (100 min limit)

Online22,000 RUB

In person44,000 RUB

Payment by bank transfer or via SBP.