| Physical Symptoms | Cognitive Symptoms | | :--- | :--- | | Racing or pounding heartbeat | Fear of imminent disaster | | Shortness of breath or choking sensation | Feeling of unreality (derealization) | | Chest pain or pressure | Intense need to escape the situation | | Trembling or shaking | Catastrophic thinking ( “I’ll faint here.” ) | | Hot flashes or sudden chills | Fear of losing control in public |
Start small. Watch that funny video and let your heart race. Go to the coffee shop and let the happiness buzz. And if the panic comes? Let it come. Smile at it. Say, “Hello, old habit. I’m busy being happy now.” * happy heart panic
A person experiencing Happy Heart Panic at a concert, for example, won’t say, “I’m too happy.” They will say, “I think I’m having a medical emergency. Get me out.” To illustrate, consider “Sarah” (a composite of many therapy clients). Sarah had worked for years to overcome social anxiety. She met a kind partner, planned a small wedding, and felt ready. At the reception, during her first dance, the DJ played her favorite song. Looking into her husband’s eyes, she felt a wave of pure, untainted joy. | Physical Symptoms | Cognitive Symptoms | |
Because a happy heart should never be a fearful one. Reclaim your joy. You have suffered enough. If you or someone you know struggles with panic symptoms during positive events, consider reaching out to a licensed mental health professional. You are not alone, and effective help is available. And if the panic comes
Instead, your chest tightens, your palms sweat, and a voice in your head whispers, “This is too good to last.” This paradoxical experience is known as —a confusing and distressing phenomenon where positive events trigger the same physiological and psychological symptoms as a traditional anxiety or panic attack.
Within ten seconds, her heart was slamming against her ribs. She felt dizzy. A voice said, “This is too perfect. You don’t deserve this. You’re going to ruin this dance.” Sarah stopped dancing, whispered, “I feel sick,” and fled to the restroom, where she sobbed in a stall for twenty minutes.