Emergency Contact Information
- Primary Care Physician: [Name] _____________________________
Phone: ________________
- Mental Health Provider: [Name] _____________________________
Phone: ________________
- Emergency Contact: [Name] _________________________________
Phone: ________________
- Crisis Hotline: 988 (Suicide & Crisis Lifeline)
Identifying My Panic Attack Symptoms
Check your common symptoms:
My Emergency Response Plan
Step 1: Initial Response
- Find a safe, quiet place if possible
- Focus on breathing: Inhale for 4 counts, hold for 4, exhale for 4
- Remind yourself: "This is temporary and will pass"
Step 2: Grounding Techniques
- Name 5 things you can see
- Touch 4 things you can feel
- Listen for 3 different sounds
- Notice 2 things you can smell
- Identify 1 thing you can taste
Step 3: Medication Protocol
As prescribed by your doctor:
- Emergency medication: ________________
- Dosage: ________________
- Maximum frequency: ________________
When to Seek Immediate Help
- If symptoms are worse than usual
- If you have thoughts of self-harm
- If you experience chest pain that doesn't subside
- If you feel unable to cope alone
Daily Management Strategies
- Regular exercise: ________________
- Meditation time: ________________
- Therapy appointments: ________________
- Support group meetings: ________________
Keep this plan accessible at all times. Review and update regularly with your healthcare provider.