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Online Therapy for Panic Attacks in English

A panic attack can feel like an immediate catastrophe. Even when there is no acute medical danger, the physical sensations are real, and fear of the next attack can restrict life long after the episode has passed.

Private-pay therapy – usually without a long wait.Sessions cost €100 for 45 minutes and are paid by bank transfer in advance.
Request a session

International enquiries are welcome. Before an appointment is agreed, availability is confirmed according to the rules that apply where you will be located during the session.

Possible signs

Common experiences during panic

Panic often begins suddenly. For many people, the fear and vigilance between attacks eventually become as distressing as the attacks themselves.

Understanding the difficulty

Making sense of the panic cycle

During panic, physical sensations are often interpreted as evidence of immediate danger. That interpretation intensifies the alarm response, which makes the sensations stronger and creates a self-reinforcing cycle.

Knowing this intellectually is helpful but may not be enough. Therapy examines your individual triggers, feared outcomes and protective strategies, then helps you build corrective experiences that feel credible rather than imposed.

Therapeutic work

Safety through understanding and experience

We analyse how your attacks begin and which thoughts or behaviours keep them going. You develop a different relationship with physical signals and learn to give them a less threatening meaning.

Step by step, previously avoided situations can become accessible again. New, unusual or medically unexplained physical symptoms should be assessed by a physician; medical clarification and psychological therapy complement rather than contradict each other.

Professional responsibilityDipl.-Psych. Michèl Nöthen

More than 35 years of psychological experience and six years living and working in the United States. About my qualifications and approach

Frequently asked questions

What you may want to know.

Can a panic attack be dangerous?

Panic attacks are intensely distressing but usually do not cause the catastrophe that is feared. New, unusual or medically unexplained symptoms should nevertheless be assessed by a physician.

What if I panic during a video session?

We can use the moment to understand what is happening and practise a different response. Beforehand, we also discuss where you are and whom you can contact if urgent help is needed.

Can I take medication while having therapy?

Medication decisions belong with a qualified physician. Prescribed medication can generally continue alongside therapy, but any change should be discussed with the prescribing professional.

A first step

Would you like to discuss whether this is right for you?

Request a session
In an acute emergency

This practice does not provide emergency care. If you or somebody else is in immediate danger, contact the emergency services or a crisis service where you are located.