Living with Panic Disorder

Panic Disorder: Episodes, Sleep and a Report for Your Doctor

Take care of your panic disorder.

Sam keeps your attacks, sleep and resting heart rate in one place. You take the history to your next appointment.

  • Not a medical device
  • Works with Apple Watch, Oura, Whoop & Garmin
  • Built in Europe

Panic disorder: where it shows in the body

Step by step: what panic disorder is, where a panic attack is felt and how it shows up day to day.

  1. 1The body

    Panic disorder

    When panic attacks recur

    Panic disorder is an anxiety disorder. Panic attacks keep coming back, including unexpected ones, followed by lasting worry about more attacks or by avoiding them.

    A human figure, seen from the front at an angle. The view moves slowly towards the upper body. Nothing is highlighted.

  2. 2Where it is felt

    During an attack

    Where an attack is felt

    A panic attack is a sudden surge of intense fear that peaks within minutes and passes. Body sensations such as a racing heart, chest pain, breathlessness, a choking feeling, dizziness, tingling hands or trembling can come in any combination.

    Peaks within minutes
    How long an attack lasts differs.

    Chest area / Head / Hands

    The upper body, seen from the front. Soft indigo areas appear on the head, the throat, the chest and both hands, marking where sensations of a panic attack can be felt. The chest area throbs like a racing heart and the throat area slowly swells and fades with each breath; nothing flashes.

  3. 3Where people feel it

    Day to day

    Attacks that come and go

    Attacks can come at any time, sometimes even during sleep, and how often varies widely. Many people worry about the next attack, and some avoid places where one happened before.

    Worth discussing with your doctor.

    New or severe symptoms need a doctor. Chest pain, fainting or sudden breathlessness: call emergency services. Chest pain can also be a heart problem.

    The view pulls back to most of the figure. The soft indigo areas on the head, throat, chest and hands stay; the chest keeps throbbing and the throat keeps slowly swelling.

Sources concern the condition
  1. [1] American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR). 2022. American Psychiatric Association Publishing. https://www.psychiatry.org/psychiatrists/practice/dsm
  2. [2] World Health Organization (WHO). ICD-11 for Mortality and Morbidity Statistics: 6B01 Panic disorder. 2026. icd.who.int, release 2026-01. https://icd.who.int/browse/2026-01/mms/en#56162827
  3. [3] National Institute of Mental Health (NIMH), NIH. Panic Disorder: What You Need to Know. 2025. nimh.nih.gov. https://www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms
  4. [4] Stiftung Gesundheitswissen. Agoraphobie (Platzangst) und Panik: häufige Angststörungen. 2026. stiftung-gesundheitswissen.de. https://www.stiftung-gesundheitswissen.de/angststoerung/allgemeines

Own simplified illustration based on the sources above.

The picture shows a reference body without organs. The coloured areas on the head, throat, chest and hands mark where sensations of a panic attack can be felt; they show neither a cause nor a measurement. The area on the chest throbs like a racing heart; the one on the throat slowly swells and fades like a breath, for the choking feeling. The tempo is an example, not a measured rate. Sensations felt across the whole body, such as trembling, sweating, chills or hot flushes, are not painted. Adult male reference model; figure and timeline are not to scale.

3D anatomy: BodyParts3D, (c) The Database Center for Life Science, CC BY 4.0. Prepared via human-atlas; simplified, cropped, coloured and animated by SanoLabs.

What Sam keeps for you

No watch sees what an attack feels like. What you notice, Sam keeps.

For people living with panic disorder who want a record for appointments with their doctor or therapist. Sam is not a medical device. It keeps what you and your wearable already produce and puts it in one place.

How the Panic Disorder Medical Program works.

From Apple Health

Your Apple Watch, Oura, Whoop or Garmin already records them, and you add what you log. Sam reads them from Apple Health and shows you how they shift against your personal baseline.

Resting Heart RateHeart Rate VariabilityRespiratory RateSleep DurationStress LevelRecovery Minutes

Log an attack in your own words

Note whether an episode felt expected or came out of nowhere, rate how intense the fear felt from 0 to 10, and check off which of 13 plain-language body sensations you noticed, like a racing heart or shortness of breath. You can add what helped and describe the situation freely - Sam records what you report, not an automatic verdict on what happened.

Attacks and fear intensityExpected or out of the blueBody sensations you noticedSituation and what helped

A monthly check-in with OASIS

Once a month, Sam asks you to fill out the OASIS - the same short, five-question tool clinicians use to gauge anxiety severity and its impact on daily life. It's a quick snapshot you can bring to your next appointment.

OASIS anxiety questionnairePDF report

Whether an episode was a panic attack stays your call - the attack log only records what you report, so what you see back is always your own account.

All of it can go into one doctor report as a PDF for your appointment.

Every Medical Program has its own doctor report as a PDF. You choose the period it covers and can share the report.

Sam is a wellness companion, not a medical device. The app does not diagnose, treat, cure, or prevent any illness and does not replace medical advice. Consult a qualified healthcare professional for medical decisions.

Sam app screen for people living with Panic Disorder

Fear, and whether an episode was a panic attack, are outside what a smartwatch can record. Sam keeps your own account.

Doctor report (PDF)

Your attack log as a report for therapy

Sam puts your attack log together as a PDF you can show in therapy or at your doctor's office. You choose the period the visit should cover: 1, 3, 6 or 12 months, or the whole record.

  • The number of attacks in the period, how many came out of the blue, and the trend per month.
  • How intense the fear was at its peak, as you entered it on the scale from 0 to 10.
  • What you did during attacks and which safety behaviours you noted.
  • Your latest 30 entries with symptoms, plus the history of your monthly OASIS questionnaire.

Report: panic disorder

Sample view

Report covers

1 month3 months6 months12 monthsWhole record

At a glance

7

Attacks in the period

3

Of which out of the blue

Attacks per month

The current month is not included.

Attack days, last 30 days

Day with an entry

Panic attacks

What you did during attacks
rode it out (4), left early (3)
Safety behaviours you noted
checked pulse (3), sat down (2)

Diary

  • 12 May, 20:15

    Attack - out of the blue - rode it out - 6 symptoms

  • 04 May, 08:40

    Attack - expected - left early - 4 symptoms

Self-tracked data, not a diagnosis.

Example values, not real data. Your report is based on your own entries.

Ask about your numbers. Take the report along.

Sam shows your values next to your entries. What they mean is something to talk through with your doctor.

Ask Sam about your data

You ask a question, Sam answers with your own numbers. For example:

How was my heart rate this week compared with last week?
Your average resting heart rate was 69 beats per minute, 5 above your baseline of 64. This showed most on days when you slept less than 6 hours.
How did my sleep look over the same period?

Your monthly report as a PDF

The monthly report sums up your weeks - for appointments, applications, or simply your own record.

Monthly Report - June

Your Health Overview

Sleep

07:10Average
23:50Bedtime
71Score

Stress level

38Avg (score)
-6vs. baseline
22Days logged
Created by Sam HealthPDF

Example values. Your report is based on your own data.

Articles about Panic Disorder

Further reading: what wearable data can show about everyday life with Panic Disorder - and where its limits are.

2 min read

Panic Disorder or Generalized Anxiety Disorder?

Panic attacks and constant worry both feel exhausting, but they're different anxiety disorders. Learn the pattern differences and how to find the right support.

5 min read

Tracking Panic Attack Patterns for Your Doctor

Recognize panic attack patterns and document them effectively. Records help your healthcare provider understand your experience and inform your care plan.

Frequently Asked Questions

Do my wearable data show when I have a panic attack?+

No. A smartwatch records signals such as heart rate, not fear or whether an episode was a panic attack. Sam shows your Apple Health data (sleep, stress, heart rate, activity) so you can see your own trends. If you think you're having a panic attack or have chest pain for the first time, seek emergency medical care.

Why is my heart rate so high? Could it be a panic attack?+

A raised heart rate has many causes: stress, caffeine, exercise, heat, illness, or anxiety. Sam shows your usual resting heart rate for comparison. If you have chest pain, shortness of breath, or symptoms that feel new or concerning, do not wait: call your local emergency number (112 in the EU, 999 in the UK, 911 in the US) or your doctor right away.

What's the difference between a panic attack and a heart attack?+

Both can involve sudden chest pain, shortness of breath, and a rapid heartbeat, which is why early medical evaluation matters. A heart attack is a medical emergency; a panic attack, while very distressing, is not immediately life-threatening. Never assume chest pain is 'just' panic, especially the first time: seek emergency care if you're unsure. Your doctor can tell them apart once cardiac causes are ruled out.

How is panic disorder treated?+

Panic disorder is treatable through approaches including cognitive-behavioral therapy (CBT), medications such as SSRIs or SNRIs, and lifestyle changes. The right treatment depends on your individual situation and is something to discuss in detail with your doctor or mental-health professional. They can recommend what's best for you.

What should I do if I think I'm having a panic attack?+

If this is your first panic attack or you have chest pain, shortness of breath, or anything that feels medically urgent, call emergency services. Once a doctor has ruled out cardiac and other medical causes, grounding techniques such as slow breathing or focusing on your senses can help. A therapist or doctor can teach you coping strategies for panic disorder.

Is tracking my data a treatment for panic disorder?+

Tracking sleep, stress, and activity can be useful for self-awareness and for sharing patterns with your doctor, but tracking alone is not a treatment for panic disorder. Sam is a tool for understanding your own data. Real treatment typically involves a mental-health professional and, possibly, medication; talk to your doctor or therapist about how data tracking fits your care plan.

Can I log panic attacks in Sam?+

Yes, in the panic program for people with a doctor-diagnosed panic disorder. You log each attack yourself: whether it came as expected, how strong the fear was, which body sensations you noticed and what you did. Sam shows sleep and resting heart rate from Apple Health beside it, plus the monthly OASIS questionnaire. An attack appears in Sam only when you enter it.

Understand what your body is telling you.

Download Sam for free, connect Apple Health, and see what your data says about everyday life with Panic Disorder - compared to your own baseline.

Free for iPhoneBuilt in Europe
Sam dashboard with wellbeing score, heart rate and sleep

Sam is a wellness companion, not a medical device. Sam does not diagnose, treat, cure, or prevent any illness and does not replace medical advice. For health questions or concerns, always consult a qualified medical professional.