Help your friend

[ZTABullwinkle]

The advice that has already been given is spot on. Especially the advice about removing them from the situation and ask how you can help (when your friend isn't having the attack) The not judging is really important. It was the scariest feeling when I was having an attack, and to feel as if I was being judged or stared at made it worse.

I suffered from panic attacks for years. Luckily, I had a very good therapist who taught me some ways to get through them.

Buy basic bubbles. You have to breath right to blow them, and it helps to "regulate" your breathing. (which is especially helpful if you are hyperventilating) Also, give you something else to concentrate on besides the panic.

Buy coloring books and crayons. Again, a distraction whihc you have to concentrate on to get through an attack.

If they have a watch, have them watch the time. Panic attacks rarely last longer than 10-15 minutes. By watching the time till 10-15 minutes is up, it is another distraction.

(I am sure these seem really "silly" but they work very well. At least they did for me.)

I think it is really admirable that you (as a friend) are looking for ways to help. I am sure that means a lot to your friend.

[scbelle]

All responders have given excellent advice to help OP with his friend. I would encourage you to encourage your friend to look into cognitive-behavioral therapy (CBT). It worked wonders for me! I suffered from massive panic attacks for many years that would often lead to hyperventilation and on a couple of occasions, passing out. My friends would freak out, but it looks (and feels) a lot scarier than it actually is. I know for me, people freaking out about it made it a lot worse for me than it already was. Just try to keep your cool, don't try to call for an ambulance (unless directed by the person who's having the attack), make and keep eye contact with your friend and have them breathe slowly- four counts in, four counts out, to get breathing regulated again. Your friend is lucky to have someone like you! I know that what eventually helped me beat my anxiety was having my friends around me who understood what was going on and helped me in every way. Good luck to you and your friend!