Although there are many causes for panic attacks, post-traumatic stress disorder (PTSD) is often to blame, says Barbara Greenberg, PhD, clinical psychologist and relationship expert. That was true for me: I’m a survivor of multiple sexual assaults and have been diagnosed with PTSD by a psychiatrist. As a result, sometimes during sex, I’ll have a flashback of an incident and experience a panic attack. Although the attacks subsided thanks to therapy and medication, it’s an ongoing process.
That said, panic attacks during sex can also happen to people who haven’t been sexually assaulted or diagnosed with PTSD. Dr. Greenberg says that generalized anxiety disorder and panic disorder can also trigger panic attacks during intimacy, but anyone can have one during their life — with or without a diagnosed disorder. Sometimes these things just happen.
However, if your panic attacks are, like mine, recurring and have an identifiable root cause, it’s an especially healthy idea to see a psychiatrist, Dr. Saltz says. “If you are having multiple panic attacks or PTSD flashbacks you should 100% get treatment,” Dr. Saltz says. Treatment will begin with an evaluation of the cause of the panic attacks with a mental health professional. Then, that person will suggest therapy, medication, or both.

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