Panic attacks often carry a theological layer that ordinary anxiety does not. For many Christians, the fear is not just of death in general but of specific judgment — the sudden terror that they are not saved, that they are headed to hell, that God has abandoned them. This is what the Reddit search history reveals: "panic attacks about going to hell." It is worth naming honestly. That fear is not irrational from inside the experience. But it is worth looking at what Scripture actually says about assurance.
Psalm 22 is the most theologically direct passage on this kind of combined physical and spiritual terror. It opens with abandonment: "My God, my God, why hast thou forsaken me? why art thou so far from helping me, and from the words of my roaring?" The roaring is not a metaphor — it is the involuntary vocalization of someone whose body is responding to a threat the rational mind cannot name. Verse 14: "I am poured out like water, and all my bones are out of joint: my heart is like wax; it is melted in the midst of my bowels." This is a clinical description of a panic response. The writer of this psalm knew what it felt like.
And yet the same psalm, a dozen verses later: "For he hath not despised nor abhorred the affliction of the afflicted; neither hath he hidden his face from him; but when he cried unto him, he heard." The feeling of abandonment was real. The abandonment itself was not. This distinction is one of the most important things a person in a panic cycle can hold onto — that the physiological experience of God's absence is not evidence that God is absent.
Romans 8:38–39 does not list panic as a separator from God's love. It lists death, life, angels, powers, things present, things to come, height and depth. The exhaustive list is meant to be exhaustive. There is no asterisk that reads "except when your heart is racing and your mind has convinced you that you are damned." Paul wrote those verses as a settled theological conclusion, not as a feeling he had reliably every morning.
Commentary is from a charismatic Protestant perspective, drawing on KJV text and public-domain sources including Spurgeon, Andrew Murray, and Matthew Henry.