My daughter, 6, had what I think was a panic attack, and she has extreme nightmares. Should I worry?

What your daughter experienced does sound like a panic attack, which is a rush of physiological symptoms — people can experience shortness of breath, rapid heart rate sweating, dizziness — oftentimes out of the blue, and other times in a situation of anxiety. The good news is that panic attacks themselves are not dangerous and usually they subside in several minutes.

But having a panic attack is not indicative of a panic disorder. Many people have one panic attack. A panic disorder is when you have recurrent episodes such as this, accompanied by a fear that something catastrophic will happen — you feel that you’re going to die or go crazy — and you begin to act in ways designed to avoid having another panic attack.

That said, if your daughter is having extreme nightmares multiple days a week and she’s afraid to go back to sleep for up to 2 hours, that’s beginning to rise to the level of impairing and pervasive, and something you might want to check out with your pediatrician or a mental health provider. I’d suggest describing the panic attack and any other extreme fear reactions you’ve seen, along with the nightmares, and discuss how to handle them. Depending on how long they’ve been happening, they may warrant her being assessed further to understand better what’s going on, and the best possible response (such as treatment).