Doh. Looks like that thread has been archived. I'll have to paste it from the word doc I originally made it in. A strategy it doesn't talk about is slow breathing. The symptoms of panic are due to overbreathing and the imbalance between oxygen and carbon-dioxide in the blood. I used to know exactly how it works physiologically but have forgotten. Basically you have too much oxygen, hence the lightheaded and unreal feeling about it, and other symptoms are caused by this too. Being anxious and having no obvious external cause, it is natural to look inwards for a cause and when one doesn't exist you think you're going crazy or dying and that just escalates the anxiety. The most important thing is to realise that it can't hurt you and try to tell yourself reassuring things (eg. it's OK, I can get through this) and to distract your mind with other things. You just have to wait it out till the adrenaline processes in yr body. Anyway, I will probably have repeated myself a few times, but here is the text.
Panic is a sudden heightening of physiological arousal that occurs out of the blue (or in response to a phobic situation). Physical symptoms include rapid heartbeat, dizziness, blurred vision, numbness, muscle tension, sweating, shaking, feelings of breathlessness and choking.
Panic is caused by overbreathing and a rush of adrenalin that activates the autonomic nervous system. People with panic become frightened of their physical sensations. External sources of danger are usually absent so the person looks inwards for the cause and invents a danger - "I am going crazy, dieing, etc." Since this is frightening, it is understandable that fear and panic result, producing more symptoms, more fear, and a cycle of escalating anxiety.
In the case of panic which is not an isolated incident, the physical symptoms may become associated with the trauma of panic, so you can become highly sensitive to the sensations as conditioned signals of threat or danger, and react fearfully simply because of past panic episodes.
#Deflate the danger#
* A panic attack cannot cause a heart failure: Your heart can beat at 200 bpm for days without causing heart failure. Any pain in your chest is transient with panic - as compared with a crushing prolonged pain that occurs with heart attack.
* A panic attack will not cause you to stop breathing or suffocate: Chest and neck muscles tighten with panic (your bodies natural defense to try to stop you breathing so much oxygen), however, the tightening sensations will pass. Your brain has a built in reflex mechanism that will eventually force you to breathe if you are not getting enough oxygen.
* A panic attack cannot cause you to faint. You may feel faint during a panic attack because blood circulation to your brain is slightly reduced. Slow breathing from the abdomen will help this.
* A panic attack cannot cause you to lose your balance. Tension can affect the semicircular canal system in your ear which affect balance. Though this is very unlikely to make you lose your balance.
* You won't fall over or cease to walk when you feel "weak in the knees" during a panic attack. Adrenaline can dilate the blood vessels in your legs producing a sensation of "jelly legs". It is just a sensation however - your legs will still be able to carry you as ever.
* You can't go crazy during a panic attack. Disorientation and the sense of unreality that occurs with panic is due to a slight and temporary reduction of arterial circulation to your brain. No one has ever gone crazy from a panic attack. People do not go crazy in a sudden way, as mental disorders develop gradually.
* A panic attack cannot cause you to lose control of yourself. You can imagine that you will 'completely lose it' during a panic attack. But there are no instances of eg. running amok or becoming paralysed that have been reported. If anything, you are more heightened to escape.
#Don?t fight the symptoms#
This is a way of telling yourself you can't handle the panic attack and is likely to make your anxiety worse. Just let go and observe your body?s state of arousal.
Float with the wave of a panic attack. You have just had an adrenalin rush. The adrenalin takes 3-5 minutes to reabsorb. You have to give it time to dissipate. Flow with the rise and fall in arousal.
Coping statements
Use positive statements to help you get through the panic attack eg:
"I've survived this before, I will survive this time, too"
"I'll just let my body do its thing. This will pass"
"This anxiety won't hurt me even if it doesn't feel good"
"So what"
#Some other strategies#
* Retreat. Leave the situation you are in. In most cases you can find a way to leave. Come back again when the panic has decreased or gone.
* Talk to another person. This will take your mind off your panic.
* Move around or engage in physical activity. This will dissipate the extra energy or adrenalin you have from the panic.
* Stay in the present and focus on external objects. Distract yourself by eg. counting things, feeling things, singing.
* Do an activity - write, play a game or an instrument, read something , etc.
-------------------- Computer games don't affect kids. I mean if Pacman affected our generation as kids, we'd all be running around in a darkened room, munching pills and listening to repetitive electronic music.
"Being bitter and hateful is like drinking a vial of poison and hoping the other person gets sick" FreakQLibrium
"My motto from here on out is: If someone or something (including me) in my life is conducting themselves in such a way that they can be seen on Jerry Springer, it's time to take out the garbage!!! When you stop taking their behaviour personally and see their antics as a true reflection on their character, it becomes absolutely nauseating." Anon. on abusive relationships.
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