07/07/2025
When the Mountains Trigger More Than Awe: Panic Attacks & Perimenopause in Black Women
This past weekend, I drove through the breathtaking mountains of Arizona. But while the scenery was stunning, my body told a different story—I had two panic attacks. One going in, and one coming out.
So let’s talk about **panic attacks**—what they are, how they’re triggered, and why perimenopausal Black women must pay attention to the messages our bodies send.
A panic attack is an intense wave of fear or anxiety that comes on suddenly—often with no clear warning. It can feel like:
* Heart racing or pounding
* Shortness of breath
* Dizziness or nausea
* Sweating or trembling
* Chest pain
* Feeling like you’re losing control or dying
Though it only lasts a few minutes, the emotional and physical aftermath can linger for hours or even days.
Panic attacks can be triggered by **environmental stressors**, **unprocessed trauma**, **hormonal shifts**, and **nervous system dysregulation**.
In my case, winding through steep, unfamiliar terrain high above sea level—not in control of my surroundings—activated my body’s survival mode. For women of color, these symptoms often hide under the mask of “strength,” which makes them easier to overlook.
Perimenopause (the 4–10 year transition before menopause) is a time of major hormonal upheaval. Estrogen levels begin to fluctuate, and this affects not just your reproductive system, but your **brain chemistry**, **nervous system**, and **emotional resilience**.
Black women, in particular, are more likely to:
* Be misdiagnosed or undiagnosed when experiencing anxiety or panic
* Carry compounded intergenerational and racialized trauma
* Be expected to “push through” rather than receive support
This intersection of **hormonal change, chronic stress, and racial trauma** creates a perfect storm for panic attacks to arise—especially when we are out of our element.
From a holistic lens, panic attacks are messengers—not just symptoms.
They tell us:
* **Our nervous systems need grounding.**
* **Our spirits need safety and softness.**
* **Our hormones need balancing.**
* **Our minds need space to process.**
Here are a few holistic tools I’m using and recommending for perimenopausal Black women:
Herbal Allies-- Passionflower, Lemon balm, Motherwort, and Ashwagandha can calm the nervous system and support adrenal health.
Breathwork & Somatic Practices--Diaphragmatic breathing, yoga nidra, and EFT (tapping) restore body-mind balance.
Sacred Rest--Rest is resistance. Rest is repair. Rest is revolutionary.
Ancestral Connection Talk to your ancestors. Light your candles. Let them remind you: *you are not alone.*
Panic attacks don’t make you weak. They make you *aware*. Your body is communicating in the only language it knows—sensation.
Let’s learn to listen, to honor, and to heal.
To my sisters navigating perimenopause: Be gentle with yourself. The mountain is not just outside you. Sometimes, it’s within. And with love, breath, and wisdom—you can climb it.
Dr. King