Panic Disorder

Panic attacks are terrifying — and they don't have to keep running your life.

If you've experienced a panic attack, you know how overwhelming it can be — racing heart, difficulty breathing, a wave of dread that feels completely out of nowhere. Panic disorder goes beyond occasional anxiety. It's a pattern of recurrent, unexpected panic attacks that can start to shape your entire life around avoiding the next one. At Modern Human MD, Dr. Tran takes an integrative approach to panic disorder, exploring the hormonal, neurological, and lifestyle factors that may be fueling your nervous system's overreaction — and building a plan that goes deeper than managing symptoms in the moment.

Why People Choose Modern Human MD for Panic Disorder

A whole-person evaluation that looks at hormones, nervous system function, and lifestyle alongside mental health

TMS neuromodulation as a non-medication option that may help regulate the anxiety circuitry in the brain

Personalized care from a physician who listens — not a one-size-fits-all protocol

Integrative strategies that can work alongside or in place of conventional treatments, depending on your needs

Who It May Help

  • You experience sudden, intense episodes of fear or physical symptoms that seem to come out of nowhere
  • You've started avoiding situations or places because you're afraid of having a panic attack
  • Medications haven't fully helped, or you'd prefer to explore non-pharmaceutical options
  • Your panic symptoms seem connected to hormonal shifts or changes in your cycle
  • You've been evaluated medically but no physical cause has been found
  • You want to understand what's driving your panic, not just suppress it
  • You're looking for a physician who treats anxiety as a whole-body issue, not just a mental one

What May Be Driving Your Panic

Panic disorder isn't simply a matter of thinking anxious thoughts. It often involves dysregulation in the brain's fear circuitry, an overactive stress response, and sometimes underlying hormonal or physiological contributors. Thyroid imbalances, adrenal stress patterns, hormonal fluctuations, and even nutrient deficiencies can all amplify the nervous system's tendency to misfire. Dr. Tran evaluates these factors alongside your mental health history to build a clearer picture of what may be contributing to your panic — because treating the full picture tends to produce better, more lasting results than addressing symptoms alone.

How TMS and Integrative Care Can Help

Transcranial magnetic stimulation, or TMS, is a non-invasive brain stimulation therapy that has shown potential in helping regulate the neural pathways involved in anxiety and panic. It delivers gentle magnetic pulses to targeted areas of the brain and may help calm an overactive fear response over time — without medication and without systemic side effects. Alongside TMS, Dr. Tran may incorporate hormonal evaluation, lifestyle and nutritional support, and evidence-informed integrative strategies tailored to your specific triggers and patterns. Everything is designed to work together, not in isolation.

Before Your First Visit

  • Write down when your panic attacks typically occur — time of day, cycle phase, stressors, or situations that seem to trigger them
  • Note any medications or supplements you're currently taking, including anything you've tried in the past for anxiety
  • Think about how panic has changed your behavior — places you avoid, things you've stopped doing
  • Bring any previous lab work or mental health evaluations — Dr. Tran will build from what you already have

Important

Panic disorder is a real and treatable condition, but care should always be coordinated thoughtfully. Integrative and TMS-based approaches can be highly supportive and may reduce or eliminate the need for medication for some patients — but outcomes vary from person to person. Dr. Tran will work with you to set realistic expectations and make sure any plan developed is safe, evidence-informed, and right for your specific situation.

Frequently Asked Questions

1What does a panic attack actually feel like, and how is it different from general anxiety?

Panic attacks typically come on suddenly and peak within minutes, bringing intense physical symptoms like a pounding heart, shortness of breath, chest tightness, dizziness, or a feeling that something terrible is about to happen. General anxiety tends to be more persistent and lower-grade. Panic disorder is specifically characterized by recurrent unexpected attacks and the ongoing fear of having more.

2Can hormonal changes actually cause or worsen panic disorder?

Yes, for many people they can. Hormonal fluctuations — particularly involving estrogen, progesterone, cortisol, and thyroid hormones — can significantly affect how the nervous system responds to stress. Some people notice their panic symptoms worsen at certain points in their cycle, during perimenopause, or during periods of prolonged stress. Dr. Tran evaluates these connections as part of your care.

3How does TMS work for panic disorder specifically?

TMS delivers focused magnetic pulses to areas of the brain involved in regulating fear and emotional response. Over a course of sessions, it may help calm overactive anxiety circuits and improve how the brain processes perceived threats. It is non-invasive, done in-office, and does not require sedation or carry the systemic side effects associated with many anxiety medications.

4Do I have to stop my current anxiety medication to work with Dr. Tran?

Not at all. Dr. Tran will review what you're currently taking and work with you in a way that is safe and coordinated. Integrative care is designed to complement your existing treatment, and any changes to medication would be approached carefully and collaboratively.

5How many TMS sessions are typically needed?

Treatment protocols vary depending on the individual, but a standard course of TMS typically involves multiple sessions over several weeks. Dr. Tran will discuss what a realistic treatment plan looks like for you during your initial consultation, based on your symptoms and goals.

6How does Modern Human MD handle payment for panic disorder treatment?

Modern Human MD is a direct-pay concierge practice. All fees are discussed with you transparently before care begins, so you understand exactly what to expect with no surprises.

Panic disorder is treatable — and you deserve a plan built around your biology, not just your symptoms.

Dr. Tran combines TMS neuromodulation, hormonal evaluation, and integrative care to address the root patterns behind panic — so you can stop living around your next attack and start feeling like yourself again.

Medical Disclaimer

The information on this site is for general educational purposes only and is not medical advice, diagnosis, or treatment. Reading this site does not create a doctor–patient relationship. Always consult a qualified healthcare professional for personal guidance. If this is an emergency, call 911. Mentions of medications, devices, or procedures are informational and not endorsements. Full medical disclaimer.

Some listed indications involve investigational/off-label use. Learn more.