What special considerations should massage therapists take when working with clients who experience panic attacks?

Panic disorder is characterized by sudden and intense episodes of fear, accompanied by physical symptoms such as chest pain, dizziness, hyperventilation, and a feeling of impending doom. Clients with panic disorder may also develop anticipatory anxiety, fearing their next episode, which can limit their ability to engage in normal activities, including seeking massage therapy.

For clients prone to panic attacks, creating a controlled and safe environment is essential. Massage therapists should ensure clear communication, allow for modifications such as shorter sessions or staying clothed, and provide grounding techniques if needed. It is also important to recognize signs of distress during a session, such as rapid breathing or muscle tremors, and respond calmly without escalating the situation. By fostering trust and supporting relaxation, massage can help reduce overall anxiety and provide a valuable coping mechanism for individuals with panic disorder.

This Ask the Expert is an edited excerpt from the course, "Touching the Mind: Mental and Mood Disorders for Massage Therapists," presented by Ruth Werner, BA, BCTMB, Ret.