Hi there ~ The cause of most panic attacks is not clear, so treatment may be different for each person. Medication is used for prevention and/or immediate alleviation of symptoms and is usually the main line of treatment. In addition, psychotherapy, cognitive-behavioral therapy, relaxation, and/or meditation are often used to help relax the body and relieve anxiety. If you re in the middle of a panic attack, immediate relief of anxiety symptoms can come from sedative type anti-anxiety medications such as Xanax, Klonopin, and Ativan. These drugs are provided at least in the beginning of medical therapy, but are not for long-term use. Antidepressants often help prevent anxiety and reduce the frequency and severity of panic attacks, but are not used for immediate relief during an attack. Frequently used antidepressants are the selective serotonin reuptake inhibitors (SSRIs, such as Prozac, Paxil, Celexa, Lexapro, and Zoloft). This group of medications is often considered the first line of treatment for panic disorders. For preventive or maintenance care, psychotherapy offers support and helps minimize fear. In some cases, psychotherapy alone can clear up the disorder. Cognitive-behavioral therapy helps people learn to deal with panic symptoms, using techniques like muscle and breathing relaxation. Patients also gain reassurance that panic will not lead to the catastrophic events they fear, since many people fear they are having a heart attack or going crazy. I hope this helps. Take care and have a lovely day!