Panic Attacks

A panic attack is terrifying. But it is not dangerous, and it can be overcome.

A panic attack is terrifying. But it is not dangerous, and it can be overcome.

Specialist therapy for panic attacks in Northern Ireland. We help you understand exactly what happens during a panic attack, break the cycle that perpetuates them, and develop lasting confidence in your ability to manage and prevent them.

Specialist therapy for panic attacks in Northern Ireland. We help you understand exactly what happens during a panic attack, break the cycle that perpetuates them, and develop lasting confidence in your ability to manage and prevent them.

Calm counselling room with two armchairs for therapy sessions in Northern Ireland

Understanding Panic Attacks and Panic Disorder

Understanding Panic Attacks and Panic Disorder

What Happens During a Panic Attack

A panic attack is a sudden surge of overwhelming fear that triggers severe physical symptoms including racing heart, breathlessness, dizziness, chest tightness and feelings of unreality. These symptoms are the result of your body's fight-or-flight response being activated in the absence of real danger. While a panic attack feels genuinely life-threatening, it is not. Understanding this distinction is the beginning of losing your fear of panic itself.

The Fear of Fear and How Panic Disorder Develops

After a panic attack, many people develop a fear of having another one. This fear of fear is what transforms isolated panic attacks into panic disorder. Avoidance of situations associated with panic, hypervigilance to physical sensations, and safety behaviours all maintain the cycle. Therapy targets this fear of fear directly, which is the key to lasting recovery.

Support in Northern Ireland

NI Counselling provides specialist panic attack therapy across Northern Ireland. Our therapists are experienced in working with panic disorder and use evidence-based CBT approaches to break the panic cycle durably. In-person and online sessions are available.

Our Service Areas:

Belfast City

Co. Antrim

Co. Down

Derry/L'Derry

Remote NI

UK-wide Online

Expert Methodologies for Lasting Relief

We don't believe in a one-size-fits-all approach. We utilize the gold standard of evidence-based psychological interventions.

Psychoeducation About Panic

Understanding exactly what a panic attack is and what is happening in your body when one occurs removes much of its terror. We provide clear, detailed psychoeducation about the panic cycle as a first step, because fear of the panic itself is what drives panic disorder.

Interoceptive Exposure

A key component of panic treatment is gradually becoming comfortable with the physical sensations associated with panic through interoceptive exposure exercises. This reduces the catastrophic meaning assigned to those sensations, breaking the misinterpretation that fuels panic attacks.

Breaking the Avoidance Cycle

Avoidance is panic disorder's most powerful maintenance mechanism. We work systematically to reduce avoidance and safety behaviours, restoring your freedom of movement and activity and demonstrating through direct experience that the situations you have been avoiding are genuinely safe.

Meet our Team

Meet our Team

Our team is hand-selected not just for their clinical excellence, but for their empathetic, editorial approach to modern mental health.

Our team is hand-selected not just for their clinical excellence, but for their empathetic, editorial approach to modern mental health.

Portrait of Tory Stirling, integrative adult counsellor at NI Counselling in Northern Ireland

Tory Stirling

Integrative Adult Counsellor

Tory is a BACP registered integrative counsellor with specialist experience in complex trauma, bereavement and neurodiversity, including over ten years working in the field of autism. Flexible, relational and neuroaffirming in approach, she supports adults across a wide range of emotional and psychological difficulties.

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Portrait of Raymond McLean, adult counsellor at NI Counselling in Northern Ireland

Raymond McLean

Adult Counsellor

Raymond is a dually registered integrative counsellor with extensive experience across community and private mental health settings. Person-centred, warm and adaptable, he supports adults through anxiety, bereavement, trauma, low mood and workplace stress from his Antrim practice.

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Portrait of Steven Montgomery, adult integrative counsellor at NI Counselling in Northern Ireland

Steven Montgomery

Adult Integrative Counsellor

Steven is a NCPS registered integrative counsellor offering a safe, non-judgmental space for adults navigating anxiety, low mood, grief, identity and relationship difficulties. Warm, accessible and person-centred at his core, he works collaboratively to build self-understanding and resilience.

Expand

Portrait of Orla McFadden, adult integrative counsellor at NI Counselling in Northern Ireland

Orla McFadden

Adult Integrative Counsellor

Orla is a BACP registered integrative counsellor offering online and telephone sessions. Drawing on person-centred, CBT and psychodynamic approaches, she creates a safe, collaborative space for adults working through depression, anxiety, bereavement, low self-esteem and relationship difficulties.

Expand

Portrait of Sarah Etheridge, adult counsellor at NI Counselling in Northern Ireland

Sarah Etheridge

Adult Counsellor

Sarah is a BACP registered counsellor with specialist training in IFS, trauma and attachment. Working through a person-centred and psychodynamic lens, she offers a warm, trusting therapeutic relationship to support adults with anxiety, grief, trauma, PTSD and a wide range of personal difficulties.

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Portrait of Orla Cogill, adult psychotherapist at NI Counselling in Northern Ireland

Orla Cogill

Adult Psychotherapist

Orla Cogill is a qualified Cognitive Behavioural Psychotherapist supporting adults with anxiety, depression, trauma, low mood and stress. Orla integrates CBT, Acceptance and Commitment Therapy (ACT), Compassion-Focused Therapy (CFT) and EMDR, tailoring sessions to individual sensory and processing needs. She offers a warm, evidence-based approach, helping clients build self-understanding, self-compassion and practical coping skills.

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Portrait of Robyn Lough, integrative adult counsellor at NI Counselling in Northern Ireland

Robyn Lough

Integrative Adult Counsellor

Robyn is a BACP registered integrative counsellor based in Banbridge. Warm, collaborative and solution-aware in her approach, she supports adults through anxiety, bereavement, trauma, neurodivergence and a wide range of life challenges, offering in-person, online and telephone sessions.

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Portrait of Michelle Duffy, adult counsellor at NI Counselling in Northern Ireland

Michelle Duffy

Adult Counsellor

Michelle Duffy is an MBACP Accredited Counsellor and Psychotherapist with over 11 years' clinical experience. Michelle works with adults, young people and children experiencing trauma, anxiety, depression, low self-esteem and relationship difficulties. She offers an integrative, creative approach, including EMDR, helping clients heal and move forward with confidence.

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Portrait of Tory Stirling, integrative adult counsellor at NI Counselling in Northern Ireland

Tory Stirling

Integrative Adult Counsellor

Portrait of Steven Montgomery, adult integrative counsellor at NI Counselling in Northern Ireland

Steven Montgomery

Adult Integrative Counsellor

Portrait of Sarah Etheridge, adult counsellor at NI Counselling in Northern Ireland

Sarah Etheridge

Adult Counsellor

Portrait of Robyn Lough, integrative adult counsellor at NI Counselling in Northern Ireland

Robyn Lough

Integrative Adult Counsellor

Portrait of Raymond McLean, adult counsellor at NI Counselling in Northern Ireland

Raymond McLean

Adult Counsellor

Portrait of Orla McFadden, adult integrative counsellor at NI Counselling in Northern Ireland

Orla McFadden

Adult Integrative Counsellor

Portrait of Tory Stirling, integrative adult counsellor at NI Counselling in Northern Ireland

Tory Stirling

Integrative Adult Counsellor

Tory is a BACP registered integrative counsellor with specialist experience in complex trauma, bereavement and neurodiversity, including over ten years working in the field of autism. Flexible, relational and neuroaffirming in approach, she supports adults across a wide range of emotional and psychological difficulties.

Expand

Portrait of Robyn Lough, integrative adult counsellor at NI Counselling in Northern Ireland

Robyn Lough

Integrative Adult Counsellor

Robyn is a BACP registered integrative counsellor based in Banbridge. Warm, collaborative and solution-aware in her approach, she supports adults through anxiety, bereavement, trauma, neurodivergence and a wide range of life challenges, offering in-person, online and telephone sessions.

Expand

Portrait of Steven Montgomery, adult integrative counsellor at NI Counselling in Northern Ireland

Steven Montgomery

Adult Integrative Counsellor

Steven is a NCPS registered integrative counsellor offering a safe, non-judgmental space for adults navigating anxiety, low mood, grief, identity and relationship difficulties. Warm, accessible and person-centred at his core, he works collaboratively to build self-understanding and resilience.

Expand

Portrait of Raymond McLean, adult counsellor at NI Counselling in Northern Ireland

Raymond McLean

Adult Counsellor

Raymond is a dually registered integrative counsellor with extensive experience across community and private mental health settings. Person-centred, warm and adaptable, he supports adults through anxiety, bereavement, trauma, low mood and workplace stress from his Antrim practice.

Expand

Portrait of Sarah Etheridge, adult counsellor at NI Counselling in Northern Ireland

Sarah Etheridge

Adult Counsellor

Sarah is a BACP registered counsellor with specialist training in IFS, trauma and attachment. Working through a person-centred and psychodynamic lens, she offers a warm, trusting therapeutic relationship to support adults with anxiety, grief, trauma, PTSD and a wide range of personal difficulties.

Expand

Portrait of Orla McFadden, adult integrative counsellor at NI Counselling in Northern Ireland

Orla McFadden

Adult Integrative Counsellor

Orla is a BACP registered integrative counsellor offering online and telephone sessions. Drawing on person-centred, CBT and psychodynamic approaches, she creates a safe, collaborative space for adults working through depression, anxiety, bereavement, low self-esteem and relationship difficulties.

Expand

Frequently Asked Questions

Can I have a panic attack during a therapy session?

Do I need medication alongside therapy?

What if my panic attacks seem to have a physical trigger?