Panic is retrained using a combination of understanding the condition, learning new techniques and specific training. Twenty or fewer sessions should be expected. Many have found total relief, as long as they practice their new techniques. There is no need to continue to experience disabling panic. Agoraphobia is the increase of panic when in crowds, complicating simple panic disorder.
Arthur (a Hypothetical name) has had profoundly disturbing physical symptoms, including rapid heart beat, gasping for air, sweating, and a horrible sense of doom. There is shaking of his hands and he has gone to the ER, suspecting a heart attack. Each time the doctors tell him there is nothing wrong and they give him something for anxiety. In fact, this has been going on for years and he is embarrassed to be seen in public like this and so has begun staying in his house. Shopping is done after midnight so there are few people around. Arthur subsequently has few friends and he finds it hard to keep a job.
Arthur's predicament is readily understood when particular patterns are observed. In addition, neurotherapy and relaxation training, particularly addressing his social fears, can make major improvements in a relatively short period. There are some extremely helpful biofeedback techniques which can sensitize Arthur to behavioral mistakes he makes, correcting these elements is a major part of the process. There is every reason to believe Arthur will stop having panic attacks and live a productive life. However, the changed behaviors must continue to be practiced, for long term relief. Panic attacks are not necessary and can be controlled.