Does a fourteen year old girl really need antipsychotics to control her panic attacks?

I did. I was on them from age 14 to 55. I only went off of them because I lost them while driving cross country. By the time I settled, my new doc pointed out that since I had detoxed on the drive, there was no need for me to go back on them.

If she and her parents feel like it is best for her, of course. Mental health is important and can be scary.

It completely depends on the situation. If someone who happens to be fourteen is struggling with that severe of anxiety, her psychiatrist may recommend just that.

I don't really like the use of the word "need". I do personally support the use of prescription medications to assist with any number of disorders, but ultimately I believe that it should be up to the patient. If a person experiences difficulty functioning in their day-to-day life as a result of panic attacks, I do think I would suggest prescription medications. Ultimately I would leave it up to them, though.

It would be inappropriate for anyone to advise regarding medications without being qualified in psychiatric practice and familiarized with the case in question. It is entirely possible that due to the severity and difficult of the symptoms experienced by the patient, specific medications may be appropriately prescribed. Medications are prescribed with consideration of the symptoms reported, the diagnoses associated with the patient, comorbidities and other issues, as well as past response to other pharmacological therapies. Anti-psychotic medications are often used to help control severe panic attacks, especially when frequent and accompanied by delusions or problems like dissociation. If you have concerns regarding the medications selected for your condition, it's a valid question to ask your provider.